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To help make your visit to ProDent Care as smooth and efficient as possible, we provide patient forms that can be completed prior to your appointment. Preparing these forms in advance allows our team to better understand your dental and medical history and focus on your care when you arrive.

 

To ensure that you begin your appointment on time, please fill out the new patient forms below. 

 

Packets

Established patient packet

New Patient Packet

 

Individual Forms Below

Welcome Form

Patient Registration Form

Dental Questionnaire

Medical History

Financial And Payment

Assignment of Benefits

HIPAA Notice of Privacy Practices

HIPAA Authorization Acknowledgement and Consent