New Patient Forms


Welcome to Manoa Dental!

You came to the right place. You've taken the first step to improve your health and your life. We are so excited to meet you!

Your first visit is very important to us. We want to make your first visit to be relaxing, comfortable, and productive. To help us get to know you better, please take a few minutes to fill out all of the following patient's forms and bring it with you on your first appointment along with any insurance information that you may have. 

Patient Information Form

Medical and Dental Hx Form

Office Policies Form

HIPPAA Privacy Forms

Smile Evaluation Form


For cosmetic or orthodontic consultation, you may also email us your smile photos or previous x-rays to

Thank you and we look forward to providing the best care for you!

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.