Patient Forms

Patient forms decorative image

Please click on the link(s) below to download and print our forms prior to your child’s appointment. Please bring the completed forms along with your child’s dental insurance card to the appointment. If you are unable to complete the forms prior to your child’s visit, please plan to arrive 10-15 minutes early so that you can complete them in our office.

New Patient Registration Forms

HIPAA Notice of Privacy Practices

HealthyStart Questionnaire

Dental Buddies Membership Contract

Medical Records Release Form