Patient Forms

Thank you for selecting us to provide dental care for you and your family. If you have already scheduled your new patient exam and need to provide us with your health history and insurance information, print out the appropriate form(s) below, enter your information and bring it to our office on the day of your exam.

NOTE: If you have not scheduled your new patient exam, you can do that here. If you are unsure about which forms you need to fill out, please call us at 303-752-2777. Otherwise, please choose from the appropriate form(s) below:

Click on the appropriate button to begin downloading the form(s) you need.

Child’s Dental History Form - Only for children (18 Yrs & Younger)

Adult’s Dental History Form - Only for Adults

Insurance Form - Everyone should complete this form

Smile Evaluation - Only for Adults

Medical History - Everyone should complete this form

If you are unable to open the files, you will need to download Adobe Reader.

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