Welcome to Health Centered Dentistry! These convenient downloadable forms will assist you in preparing for your first visit. If you prefer to fill out the forms on paper, please download the PDF version, print and bring with you to your next visit. Secure online form submittal will be available soon.

If you have any questions or are unable to answer any areas of these forms, please arrive a few minutes early for your visit and let us know how we may assist you. We are looking forward to seeing you!

Health History Form

PDF Format (download, print and mail or bring with you to your appointment)

Online Form (coming soon)