PATIENT FORMS

The team at Maitland Family Dentistry looks forward to your first visit. In order to save you some time, we'd suggest you download and complete the appropriate registration forms before you come into the office. These forms are short and concise by design, no more fumbling thru 15 pages of the same redundant questions. This will save you the time of doing 'paperwork'. If you have any questions, don't hesitate to call us.

Below are the New Patient Registration Forms. An Adult is any patient above 18 years old.

• Adult Patient Forms
• Child/Youth Patient Form

If you have Dental Insurance and would like us to verify your benefits on your behalf please fill out the form below and bring your insurance card with you if it was provided.

• Insurance Information Form

If you are an existing patient and are Updating your health history with us please fill out the form below.

• Health History Update

For your information, we have provided a copy of our HIPPA compliant informational guidelines. This form DOES NOT have to be printed or brought with you its only for your information.

• HIPPA Privacy Act Form

Our forms are in PDF format. If you do not have a PDF reader, follow the link below to download and install it for free.