Patient Forms

The following forms help our Newport dental office best serve our patients:

• Adult Patient Registration Form
• Release and Consent Form
• Adult Dental Health History Questionnaire
• Adult Oral and Systemic Health History
• Financial Policy
• HIPPA Consent
• Release of Records Form
• Pediatric Oral and Systemic Health History

 

• 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.
• 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.