METROTOWN DENTAL CLINIC
New Patients
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.
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.