New Patient Information Forms

Spend less time in the office! For added convenience you can fill out your forms here online wherever you want or download, print, and complete your forms at your home or office and bring with you to your appointment.

Option A: Fill Online

Dental History
Patient Information
Patient Medical History
Noticy of Privacy Practices
Insurance Information
Acknowledgement of Receipt of “Notice of Privacy Practices”
Medical Information Release

Option B: Download, Print and Complete

Download, print and complete your forms by hand and bring them in with you to your appointment at our Medford dental offices.