If you would like to electronically complete your child’s new patient packet on the computer, please click on the hyperlink below.
If you would like to print our office form prior to your child’s dental visit, please click the hyperlink below and bring the completed papers on your first visit. Thank you.
HIPAA PAGE 1
PHOTO RELEASE FORM
Designation of Another Person to Consent for Medical Care
Pediatric Medical History
Release of Information
Consent for Fluoride
HIPAA PAGE 1 HIPAA PAGE 2 HIPAA PAGE 3 HIPAA PAGE 4 HIPAA PAGE 5 HIPAA PAGE 6