Please download and fill in completely the important information on these forms prior to your child’s first visit with us. You may bring the finished paperwork on the day of your visit, email it to firstname.lastname@example.org, or send to our postal address. We are better able to maximize our time with you and your child if we have your information completed prior to your day.
Patient’s Confidential Information and Medical History
Consent for Dental Care by Non-Parent
Dental Records Release Form
Patient Financial Policy
Consent to use Child’s Photo
Receipt of Privacy Practices
Notice of Privacy Practices