New Patient Forms
We’re excited that you’ve chosen Children’s Dental Health as your pediatric dental provider! You can now fill out your child’s New Patient Paperwork online. Click the button below to get a head-start!
If you’re filling out your New Patient Paperwork within 24 hours of your appointment, please print a copy of your New Patient Paperwork and bring it with you. There is a checkbox at the end of the form for a copy to be emailed to you.
New Patient Paperwork
If you are unable to complete your paperwork in advance, please arrive 20 minutes prior to your child’s appointment to allow time for completion.
Orthodontic Patient Paperwork
What can I expect the day of my child’s dental appointment?
On the day of your child’s scheduled appointment, a parent or legal guardian must be present with:
- Photo ID or Driver’s License
- Insurance Card
- Appropriate custody or legal guardianship paperwork (if applicable)
If a parent or legal guardian is not available to attend your child’s appointment, you must submit your New Patient Paperwork in advance and list other person(s) authorized to bring your child. The parent or legal guardian must be readily available on the day of the appointment in case the office needs to reach out via phone.
What we’re doing to keep your family safe
Your family’s safety is our first priority. You may print and complete the consent portion in advance, but the questionnaire must be completed in the office by a member of our staff. Click below to download the COVID Pre-Screening Questionnaire. You’ll also notice additional safety protocols in place at your next appointment including required masks, temperature checks, our waiting buzzer system, additional sanitizing procedures, limited patients in the hygiene bay area, and more.
Serving Lots of Happy Patients
"Amazing staff! They walked my 3 year old through what they were going to do and let him see the tools before they even started! Both my kids actually enjoyed going to…" Read More
"I was dreading having to take my anxious 6 year old to have two of her teeth extracted, but much to my surprise it went very well thanks to the patience and…" Read More
"I take my 3 kids here (7,5, & 2) I have zero complaints!! The staff is friendly, the place is super kid friendly, very clean and they are very easy to schedule…" Read More