REQUIRED NEW PATIENT FORMS
The following forms should be downloaded, filled out, and signed by all new patients.
- Registration Form
- Health History Form
- Consent Form
- Family Members and Friends Involved In Discussing Patient Care Form
OPTIONAL PATIENT FORMS
The following forms may be required, depending on your clinic or procedure. Please contact 888-707-2500 if you are unsure which forms are required.
- Authorization for Patient Records
- CDC Consent for Student Care Form
- Pediatric Dentistry Standard Health Questionnaire
- Temporary Consent Form for Adults with a Guardian and Minors
- Temporary Delegation of Guardian/Parental Rights Form
PATIENT INFORMATION AND PRIVACY
The following documents provide information relating to patient rights and the University's privacy policies. The documents do not require signature.