Patient Forms

Our practice is committed to providing you with safe, gentle, high-quality dental care. We understand that you may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable while providing the best care possible.

Here is a list of printable common forms that you’ll need while being treated at BPDI. The patient registration and HIPPA forms will help prepare you for your first visit to our office, and the postoperative instructions will help you heal after any treatment you receive. We’ve also included a PDF version of our newest brochure.


If you have a dental insurance plan, we will complete and submit your claim forms on your behalf. Your insurance company will directly reimburse you according to the provisions of your policy. You will be responsible for all financial obligations incurred during treatment in our office, as we do not accept payment directly from insurance companies. Detailed questions about your individual needs and insurance coverage should be discussed with Dr. Nevins and your insurance provider.

Personalized Care,
Every Step of the Way




Have a Question?
Contact our office, for more information.