Online Forms

New Patient Medical History Form

Please complete this form and bring it to your child's first visit. Click here to download the New Patient Medical History Form.

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Thumb/Finger Sucking Habit Chart

This monthly chart will assist you and your child with ceasing their harmful habit through a rewards system. Click here to download the habit contract.

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Monthly Toothbrushing/Plaque Chart

Complete these monthly charts to create the routine of excellent brushing and flossing for your child. You should also bring them to your child's visit to our office to receive reward prizes and to be entered in our electric toothbrush raffle! Click here to download the plaque chart.

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Teeth Erupt Chart

Click here to download the teeth erupt chart.

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Home Care Instructions After Tooth Extraction

Click here to download the home care instructions after tooth extraction.

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