​New Patient Information
Health History Form
To provide safe, appropriate, and personalized care, patients are asked to complete a health history form prior to their visit.
Aurora Dental Hygiene respects your privacy. Information shared through our forms is kept confidential and used only to support your care and access to services. We are happy to answer any questions you may have before completing the form.
HIPAA: Download your copy here.
We provide a Notice of Privacy Practices that explains how your information may be used, how it is protected, and your rights regarding that information. All information is handled with care and used only to support your care and related operations.
Sliding Scale Eligibility
Aurora Dental Hygiene offers standard fees, sliding-scale options, and free services for those who qualify.
To be considered for sliding-scale care, please download and complete the intake form below.
HIPAA Acknowledgement Form
Please acknowledge you've downloaded your HIPAA document from above.