New Patient Forms
We are delighted that you have chosen our practice for your child’s first dental experience. We hope that we can exceed your expectations.
The links below will help make the first visit easier. By completing these new patient forms now, you will save time and allow you to concentrate totally on your child. Ultimately, this will make for a more positive first visit.
NEW PATIENT FORMS
The New Patient Forms Packet should include 5 forms :
- Welcome Signature on File
- Patient Demographic Health History
- Payment Policy
- Child without Parent Operatory Guidelines
- Notice of Privacy
PERMISSION FOR NON-PARENT TO BRING CHILD
Download Family or Friends Permission Authorization Form
(This form is if someone other than the parents will be bringing your child to the appointment.)