Patient Forms

 At Dentila, We Understand that everyone has a busy schedule. To be more of service to our patients, below are our New Patients forms that would need to be filled out. By Filling these papers at home, this minimizes the forms to be filled out once you arrive to our practice.  

• Registration Form
• Medical History Form
• Notice Of Private Practices
• Acknowledgement of Receipt of Notice of Privacy Policies
• Financial Policy

•  Authorization form for minor(s) to be accompanied by someone other than Parent or legal guardian.