Patient Forms

ATTENTION: It is no longer necessary to fill out the following forms to print & bring with you to your appointment.

We now have the clients fill out all of their information on an Ipad when you arrive at the office so that it imports directly into your file. This helps with eliminating papers, accuracy of information and saving time for you as well as our team. Please feel free to view these if you would like to know the information you will be inputing into the Ipads upon arrival. Thank you!

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Patient Form (Child & Adult) PDF | DOC

If you're unable to open PDF files, you can get Adobe Reader® for free.

Please have your current xrays sent to: xrays@totalhealthdentist.net

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