Paperwork is not our favorite thing either...and we do appreciate your working with us on this. Our dental practice management software does not at this time allow for parents to directly enter information into their child's chart. BUT>>>> we are developing an Patient Portal that should help us down the road. So for now, please help us get to know and prepare for your child with accurate and complete information. If you have any questions along the way, feel free to contact us.
Please print and bring these forms to your child’s appointment or email them to firstname.lastname@example.org.
- New Patient Forms
- Medical History
- Dental History
- Adolescent/Teen Dental & Medical Concerns
- 2020 Financial Policy
- Authorization to Exchange Information
Here is our Notice of Privacy Practices.
- Formas de Pacientes Nuevos
- El Historial Médica
- El Historial Dental
- Preocupaciones Dental & Medica del Adolescente/Joven
- Politica Financiera 2020
- Formulario de Autorizacion para el Uso o Divulgacion de Informacion del Paciente
Aquí está nuestro Aviso de las Prácticas de Privacidad
We look forward to meeting you and your child at your first appointment.