Please complete the following before your appointment.
First download the form, fill-out the interactive fields and then attach the forms below in an email back to: sally@sallypowelldds.com
Alternatively, you may print, fill-out and bring them with you to your appointment.
1. Patient History (if filling out for a minor or child, please use this form: Child Patient History)
2. Financial Policies
3. Read the HIPAA Privacy form and fill-out the HIPAA Acknowledgement