Speed Up Your Visit
Download the following new patient forms to speed up your visit. Fill them out prior to your first appointment and present them to the staff at the front desk. A new patient chart will be created and you'll be ready to go. Or, download one of the form packages we've created that include all the forms below. Simply download the appropriate package and you'll be on your way.
Patient Forms
Below are patient information and health history forms for both adults and children. You need to have Adobe Acrobat Reader to view the files. If you do not currently have Adobe Acrobat Reader, you may download it for free here.
Privacy Practices
The notice below provides information about how health information pertaining to you may be used and disclosed and how you can get access to this information. Download the Notice of Privacy Practices by clicking here and please review it carefully.
After reviewing the Notice of Privacy Practices please:
- Print the Privacy Practices signature form by clicking here.
- Fill out appropriate fields.
- Bring to first appointment.
Treatment Plans and Insurance Estimates Form
Gentle Dental Care provides a treatment plan and a ̃nancial estimate at check out. Please download this form and bring it with you to your first appointment.
Patient Financial Options
Our office is committed to providing you with exceptional quality dental care at affordable fees with comfortable financial options. It is our intent to ensure that you have every opportunity to wisely invest in a smile that will be beautiful, healthy, and functional. For this reason, we have developed the following financial options, which we believe will be of great assistance to you. Please complete the following:
- Print the Patient Financial Options form by clicking here.
- Fill out appropriate fields.
- Bring to first appointment.