Patient Forms

Here for your convenience.

New Patient Forms

If you’re a new patient, please fill out the following forms prior to your appointment.

If this is your first visit … Click to open this link in the same window … with us, be sure to also read our first visit page to give you an idea of what to expect. We look forward to meeting you!


Know the symptoms and keep us informed!

It is important that you disclose to this office any indication of having been exposed to COVID‐19, whether you have experienced any signs or symptoms associated with the COVID‐19 virus or if you are awaiting test results.

COVID Symptoms

According to the CDC website, these are the current known symptoms of COVID-19:

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea
Let's Get Started
Welcome to Hawley Lane Dental.
  • Monday - 9:00am–5:00pm
  • Tuesday - 8:00am–5:00pm
  • Wednesday - 8:00am–5:00pm
  • Thursday - 8:00am–5:00pm
  • Friday - 8:00am–5:00pm
Four of our dental assistants at Hawley Lane Dental smiling while giving thumbs up