Dental Forms

Other available forms

Dental Records Request
(Print and fill out if you want your child’s records sent to another dental office.)
Power of Consent
(Please print and complete if someone other than the parent/guardian will be bringing the child)
Consent for Nitrous Oxide
Consent for Sedation
Toothbrushing Chart

Tooth Fairy Letter - Pediatric Dentist in Mechanicsburg and Harrisburg, PATooth Fairy Letter

Your child will love getting this fun letter personalized for them from the Tooth Fairy. Not only is it fun, but it also helps educate them on the importance of proper oral health care and routine visits to the Tooth Fairy’s friend, the dentist.

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