Patient Forms
The following forms help our Newport dental office best serve our patients:
- Patient Registration Form
- Medical History Questionnaire
- Sleep Consultation Questionnaire
- Sleep Consultation Questionnaire with Sleep History
- Please Handle Me With Care Questionnaire – if you have any existing discomfort or fears about going to the dentist, this form helps us to know beforehand how best to address them.
- Patients’ Cosmetic Dental Self-Analysis – a quick review of your teeth and gums, as well as possible breath and snoring concerns that will make it easier for us to diagnose and propose the best solution for your dental needs.
- Periodontal Questionnaire – a quick examination of your gum and tooth history
- Oral Surgery/Implant Questionnaire – a more thorough examination of your oral and physical health history so that any procedure we perform takes these factors into consideration.


