Patient Forms
Complete your forms online before your visit to save time at the office
New Patient Form
Complete this form before your child's first visit. Includes patient information, medical history, HIPAA consent, financial policy, and general consent for treatment.
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Recall Form
For returning patients — update your medical history and contact information before your child's recall appointment.
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Extraction Consent
Consent form required before tooth extraction procedures. Includes tooth identification and acknowledgment of risks.
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Nitrous Oxide Consent
Consent form for the use of Nitrous Oxide (laughing gas) during your child's dental treatment.
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Need Help?
If you have questions about any of our forms or need assistance completing them, please don't hesitate to contact us.
609.200.5437