Child Patient Packet
New child patients’ parents or guardians should follow these steps when their child is becoming a new Family Dentistry patient:
- Print each form below. (or download the full packed ZIP file)
- Complete each form.
- Bring each of the completed forms to your first appointment.
- Print Registration Form
- Print Child Dental/Medical History Form
- Print Statement of Privacy Practices Form
- Print Acknowledgment of Privacy Practices Form
- Print Cancellation Policy
- Print Financial Policy