Patient Forms

For your convenience, we have supplied our Health History Form  and our Privacy Practices Form in pdf format.  If you wish, click on the link below to print the form. Give us the completed form at your next office visit.  We look forward to meeting you!

HIPAA Consent Form

Patient Information Registration

Online Patient Registration

Comprehensive Dental Services

Helpful Articles

Clenching and Grinding of Teeth Can Be Treated

To help patients who grind their teeth, the first step is to get to know the patient and learn about their lifestyle. So many people have excess stress in their lives that often leads to clenching the teeth or grinding the teeth, or both.

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Posted 09/23/19

The Secret Language of Dental Benefits—Insurance Coordinator Tells All

When a patient tells me, they want to be smart about their insurance and make sure they are choosing a company that will cover them in the best possible way, I offer my services to the patient.

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Posted 09/16/19

Dr. Gallagher On Call for Dental Emergencies

We are on call at West Park Dental after hours for emergencies. One new emergency patient was in town to give a talk at a conference, and while at the meeting he developed a toothache and was afraid it was so severe that it would prevent him from giving his presentation.

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Posted 09/09/19

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