Patient Forms

Parent Completing Forms

Forms to Complete Online

New patients should plan to arrive at least 15 minutes before their appointment time in order to complete patient registration if you have not already done so. Please bring your child’s dental insurance card and your photo ID to assist in registration. If you are moving into the area, please ask your former dentist to send a copy of your child’s records. Please click on the links below to download and complete the appropriate forms.

Patient Online Registration Forms

Forms Available to Print

Please print the following forms and bring the completed forms with you to your child’s appointment. Click here to download Adobe Acrobat Reader for free if needed.

Fluoride Consent Form
Caregiver Consent Form
18 and Over Consent Form
Records Release Form
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