English
New patient medical and dental history form - 2-page PDF.
Your First Visit
We will help you feel ready for your first visit.
Before your appointment, you can download your forms, review what to bring, and learn what to expect when you arrive at Stephen Family Dentistry.
New patient forms
Complete your forms before you arrive.
Download the form in English or Spanish, print it, complete it, and bring it with you to your appointment.
Español
Formulario de historial médico y dental para pacientes nuevos - PDF de 2 páginas.
Protect your privacy: These forms ask for personal and medical information. Please bring completed forms to the office. Do not email them or submit them through the website unless the office gives you an approved secure method.
Before your visit
Bring your completed new patient form, insurance information, a list of medications, and any questions you would like to ask.
During your visit
Depending on your needs, your visit may include a review of your dental history, necessary X-rays, an exam, a cleaning, or a discussion about treatment options.
Insurance and payment
We will explain insurance and payment information clearly so you can make informed decisions before treatment begins.
Appointments
Ready to take the next step for your smile?
Call our office or request an appointment online. Our team will confirm your appointment by phone.