METROTOWN DENTAL CLINIC

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Forms

Patient Intake Forms

We encourage you to fill out and securely submit our HIPAA compliant forms online. Simply click on the links marked “Online” below to access the form(s) you require. Submitting these forms prior to your visit will expedite your visit.

Alternatively you can print and fill out the forms and bring them to the office with you. If you need assistance with a form, please contact our office.

COVID-19 questionnaire

Please read the patient acknowledgement, and initial or sign in all areas indicated on the day of your appointment.

Medical / Dental History

New Patient Information

COVID-19 Acknowledgement Form

Ready to achieve long term oral

health and a beautiful smile?

START YOUR DENTAL JOURNEY WITH US

Ready to achieve long term oral health and a beautiful smile?

START YOUR DENTAL JOURNEY WITH US

Book an Appointment

Fill out the form and we will get back to you as soon as possible.

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