Dentistry For Kids

Patient Forms

Online Forms

We are now providing our forms for you to fill out prior to your visit! Thank you for taking the time to do this at least 1 business day before your child’s appointment.

Having trouble filling out forms for multiple children? Open the form you need filled out again, (even though the box is checked green) and change the name at the top to reflect the appropriate child. As long as you push “submit” after you complete, we will receive the updated forms under each child separately! Feel free to call us if you have any trouble!

Downloadable Forms

For your convenience prior to visiting our office, please click on the links below to view and print the necessary forms and policies, complete the information and bring them with you to your first visit.

Please bring completed forms with you to the office signed by the child’s legal guardian.

For the first visit the following forms are needed.

If other appointments are needed these forms may be necessary prior to a second appointment.

These are our Office Policies for Patient Treatment

Existing Patients ONLY- if you have not been in to the office since Jan 2018, we are updating our records. Please fill out the form attached to Update your child’s Medical History. Thank you!