Please open the following formsand complete them on your computer at home. Once you have completed filling in the forms, print them and bring them to our dental office at the time of your visit.
Patient Forms
The patient forms available below are in pdf format. If you cannot open the forms, please download the free Acrobat Reader here.
Patient Registration & Medical History Forms
Denteffex Expectations & Office Policies Form
Please print and sign the following forms and bring them to our office at the time of your visit. Reviewing the forms prior to your visit will save you time when you come in to our dental office.
Notice of Privacy Practices & Signature Form
Please review the Notice of Privacy Practices prior to your visit to Denteffex. It is not necessary to print the Notice of Privacy Practices. You need only print and sign the Signature Page, indicating that you have reviewed the Privacy Practices.