Patient Forms

Save time during your next appointment and complete forms online

New Patient Information Form

All new patients must complete this form with their personal information, insurance details, medical history and dental history before their first appointment at The Dentistry Place. All your information is kept strictly confidential.

Additional Forms

Patient Records Transfer Form

You can transfer your patient records (x-rays/radiographs) from your previous dentist to The Dentistry Place with this form. It can be completed online and you can then print, sign and either submit to your previous dentist directly or bring to your next appointment at The Dentistry Place and we can submit for you. Alternately, you can complete it online and we can print it for you to sign at your next appointment and submit.

Patient Consent Form for Collection, Use and Disclosure of Personal Information

All patients must read and agree to our patient privacy policy. You can view and read the form online, then you will be required to sign the form at your next appointment.

Request An Appointment

Both new and existing patients can complete this form to request an appointment at The Dentistry Place.