Dear Parent or Guardian,
When you are planning your child’s first visit to our office, you will need to fill out an information form related to his/her general and oral health.
THERE ARE 2 OPTIONS TO PROVIDE US WITH THIS FORM:
DOWNLOAD the form applicable to you below
Download First Visit - Kids Pediatric Dentistry (PDF)
Download CYFS - First Visis - Kids Pediatric Dentistry (PDF)
(Child Youth and Family Services)
Print the form at home, then bring it on your first visit, or email it to us in advance. [[email protected])
FILL OUT the form below ONLINE
NOTE: Any cancellation of appointments must be submitted by phone or email at least 48 hours in advance, otherwise, service charges may be charged.