Adult Patient Packet


New adult patients should follow these steps when becoming a new Family Dentistry patient:

  1. Print each form below. (or download the full packed ZIP file)
  2. Complete each form.
  3. Bring each of the completed forms to your first appointment.


  1. Print Registration Form
  2. Print Medical History Form
  3. Print Dental History Form
  4. Print Statement of Privacy Practices Form
  5. Print Acknowledgment of Privacy Practices Form
  6. Print Cancellation Policy
  7. Print Financial Policy

Download Adult Patient Packet