Patient Forms
All forms below can be securely completed, signed and submitted online. Press the green Open Form
button for the form you need to complete and it will open in a new page.
Patient Forms
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Consent to Dental Care for a Minor
Parent/Legal Guardian to fill this form out when they will NOT be present to accompany their child(ren) to their dental appointment.
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Consent to Discuss Health Information
Parent/Legal Guardian to fill this form out and list any parties who may have access to their child(ren)’s dental records.
