Forms / Payment Portal

With our goals of devising an environmentally friendly, efficient, reliable, safe, and modern dental practice, being “paperless” has been a high priority for The QPD. Our detailed digital forms give us a picture of our new patients, and as we like to fondly think of them, are simply Quick Patient Data, necessary for commencing our professional relationship with you.

Please fill out our New Patient  forms (all of them please!) to the best of your knowledge and kindly do so at least 24 hours prior to your first visit at The QPD. When arriving for your initial visit, we will ask you for a copy of your insurance card (or printout of the web-provided info) and your driver’s license (or equivalent form of identification).

For your convenience, you may utilize The QPD's payment portal to securely send payments. To gain access to the portal, please call or email us to receive your login information.