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Patient Forms


 

If you are a new patient to our office, below are links to our new patient forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them upon your arrival. You may also choose to arrive 10-15 minutes early for your appointment and use our iPad to complete these forms.

Thank you and please call our office if you have any questions.

NEW PATIENT FORMS

ACCOUNT INFORMATION AND FINANCIAL POLICY

GENERAL CONSENT

NITROUS CONSENT

NOTICE OF PRIVACY PRACTICES

PHOTOGRAPHY CONSENT

MEDICAL HISTORY

Can we request previous records for you? Please fill out the following form and send it to us at scheduling@drsalathe.com PRIOR to your dental appointment.

RECORDS REQUEST

 

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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