Prior to your first appointment, Dr. Larson will need your Medical and Dental history, as well as your contact information.
- The information you provide allows Dr. Larson to be up to date about about your health and dental history BEFORE your appointment.
- The information you provide is completely confidential, and is not shared with any other organizations or contacts.
- If you can complete the forms prior to your first exam, it will help the doctor to be better prepared for your initial exam. If that’s not possible, please arrive 30 minutes early to your initial appointment with Dr. Larson, to complete them in-office.
Click on the link below to access the form. After the MyChart web page loads, click “register.”
MyChart Confidential Patient Questionnaire
For your convenience, please review our Notice of Privacy: Notice of Privacy Practices