My Kids' Dentists Patients Care Forms

Your Child's Dental Care Forms for New Patients:

*Present All Completed Forms Upon Arrival During Check-in

  1. New Patient Information
  2. Acknowledgement of Privacy Practices
  3. Consent for Health Information
  4. Consent for Treatment
  5. Financial Policy


Your Child's Dental Care Forms for Existing Patients:

*To Be Completed As Directed, Present During Check-in

  1. Medical Health Record Update


Your Child's Post Dental Care Instructions:

  1. Space Maintainer Information
  2. Tooth Extractions  *Coming Soon!