receptionistOur goal is to make your patient experience with River Valley Dental as effective as possible. Below, please find links to several of the patient forms we require in our office. If you would like to print these, complete them, and bring them to our office on the day of your appointment, it will help to expedite your visit.

Please note: As of 9/28/2015, we are currently editing our forms and will be uploading new links shortly. We apologize for any inconvenience!

 

New Patient Information Form

This form is for new patients to fill out and is required at the time of your appointment. You can download and fill it out prior to your appointment.

New Patient Health History Form

This form is for new patients and will provide the opportunity for you to tell us about your dental history and overall health history.

Notice of Privacy

This notice describes how health information about you may be used and disclosed and how you can get access to this information.

Request Record Transfer From Previous Dental Office

Use this form to request a record transfer from a previous dental office.

Pediatric Health Form

This is a pediatric health form used to disclose your child’s pediatric health history.

Other Resources