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