New Patient Forms

We want to welcome you to the Harmony Dental family!

This page contains the forms that we are required to have on file for all of our patients.  Please print and bring the completed forms with you to your first appointment.  If you have any questions, please do not hesitate to contact the office for clarification. We hope to see you soon!

Dr. Michio Kubota and the Harmony Dental team

Click below to download New Patient Registration Materials