Time-Saving Patient Forms
Save time by completing these new-patient forms and bringing them with you to your first appointment. Print out the forms below and fill them out before your first visit.
Questions? Call us at 651-636-0655 or e-mail us today.
- Dental Health History Form – PDF (1-Page PDF)
- Insurance Form (1-Page PDF)
- Written Financial Policy (1-Page PDF)
- Consent for Use and Disclosure of Health Information (1-Page PDF)
These forms require the free Adobe Reader application, which is already installed on most computers. If you do not have Adobe Reader, click here to download it for free. Mac Users: you can also open PDF’s using the built-in “Preview” application.
Q: Am I required to do this ahead of time?
A: Nope! You can always complete these short forms in-person when you arrive for your first appointment.
