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Patient Forms

Help us get to know your child!

Please take a moment and fill out our patient information forms. If you have any questions along the way, feel free to contact our practice.

We look forward to meeting you and your child at your first appointment.

  • New Patient Forms PDF
  • New Patient Forms (Spanish) PDF
  • Periodic Update Form (to be completed every 12 months) PDF
  • Caretaker Form (for child attending appointment without legal guardian) PDF
  • Dentist Referral Form PDF
  • Privacy Practices Notice PDF
  • Dental Materials Fact Sheet PDF

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