Pediatric Dental Associates
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Patient Information
From the first day you join either of our offices, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, etc.

For your convenience we've included these forms below. Click on the links to download and print out these forms at home, where you can fill them out at your leisure and bring them with you to your first visit.

    Financial Policy
    Receipt Financial Policy
    Pediatric/ Orthodontic New Patient Information
    Pediatric/ Orthodontic Medical History
    Privacy Notice
    General (Adult) New Patient Information
    Hippa
    Rate Your Smile
    Web Consent