Download New Patient Forms

 
The New Patient Form is in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. The Acknowledgement form does not require the reader and will open in a new browser window.

Please print the New Patient Form, fill it out, and bring it with you for your appointment. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.
 
Download Adobe Reader
 
New Patient Form - PDF
New Patient Form
 
General Consent Form -PDF
General Consent Form
 
 
Consultation with the dentist — Professional Dentistry in Salt Lake City,UT