Patient Check-In Forms

Coming in for an appointment? Download your forms below so you can fill them out in advance and save time during your appointment.

1. Forms for all patients:

PATIENT CONSENT AND DENTAL / MEDICAL HISTORY FORMS


2. Forms for patients undergoing general anesthesia

HISTORY AND PHYSICAL FORM

This form must be completed by a physician or nurse practitioner no more than 2 months prior to your appointment.


3. Forms for patients with autism or other sensory processing sensitivities:

PARENT QUESTIONNAIRE


If you are a dentist who would like to refer a patient to our clinic, please click here.