Patient Forms

As part of the first visit, patients are asked to provide a complete dental and medical history. Therefore, please arrive a few minutes early. After your first appointment, the clinic will set up subsequent appointments at the convenience of both the patient and the faculty member. As faculty have teaching responsibilities, they have set times and days in which they participate in Faculty Dental Practice.

To save time before your first appointment, please print the forms below, fill them out as completely as possible, and bring them with you to the clinic. (If you are seeing an orthodontist, oral surgeon, or pediatric dentist, you will fill out different forms. See Orthodontic forms below, or arrive to your appointment early to receive the appropriate forms.)