Patient Forms

Patient Forms

To ensure a smooth and efficient visit, we have made our patient forms available online for your convenience. Please complete these forms prior to your appointment to help us provide the best care for your child.

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New Patient Form

The New Patient Registration Form collects essential information about your child, including personal details, contact information, and dental history. This helps us understand your child's needs and provide personalized care.

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Authorization For Medical And Dental Treatment(S)

To ensure the best care for your child, we require a signed authorization form that allows our medical and dental team to provide necessary treatments. This form covers essential diagnostic procedures, examinations, and treatments.

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Notice Of Privacy Practices

At Journey Kids Dental, we are committed to protecting your child's health information. Our Notice of Privacy Practices outlines how we handle and safeguard your personal and medical information. This document explains your rights and our responsibilities regarding your privacy.

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Consent Form for General Treatment: First & Recall Visits

To provide your child with the best possible care during both their first visit and subsequent recall visits, we ask that you complete our General Treatment Consent Form. This form authorizes our team to perform standard dental procedures, including examinations, cleanings, and preventive treatments, as needed.

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