Patient Forms



For your convenience, we invite all new patients to download our new patient forms.

Fill them out before you arrive, and you’ll have less paperwork to do during that first visit. To download the forms, please click on each form below. Then simply print out each form, fill them out, and bring them with you. If you aren’t able to print these forms in advance, please don’t worry—we will provide the forms during your visit. Thank you for considering Sharon Freeland Harris Dentistry!

Please note: Adobe Acrobat Reader is required to download the forms.

Patient Health Record Update

HIPAA Acknowledgement of Privacy Policy

Notice of Privacy Practices