Patient Forms

In an effort to speed up the check-in process prior to your appointment, we would appreciate your assistance by printing, completing and signing the following forms. Please bring the completed forms with you to your appointment. Thank you! We look forward to seeing you soon!

Adult Forms

• Adult New Patient Packet

Child Forms

• Child New Patient Packet

If you are a new patient transferring records from another dental office, please fill out and sign the Records Release Form.

• Records Release Form: Leaving RDC

• Records Release Form: New to RDC

These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.