To become a patient at Restorative Dental, we need certain personal information such as your name and address as well as information about your general health and your dental insurance carrier, if any.
You can make your first dental appointment faster and easier by downloading and completing our New Patient Forms before your appointment. After completing the forms, please email or fax them to our office. Alternately, you may bring them with you to your appointment. Thank you.
New Patient Online Form
NEW PATIENT FORMS
- Patient Registration Form
- Patient Medical History Form
- Office Patient Financial Agreement
- HIPAA Consent Form
- Oral Cancer Screening
PATIENT INFORMATION AVAILABLE FOR DOWNLOAD
All of the above are PDF files. Adobe Acrobat Reader (free download) or other suitable software is required to view and print these files. If you have problems downloading or reading the files, please contact our office and we will send you copies by mail or fax.