Dental 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)
Toothbrushing Chart
Referral Form
(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)
Toothbrushing Chart
Referral Form
Tooth 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.