For Patients

Patient Forms

Dental and medical forms for your appointment.


Save time by completing the required dental and medical forms before your appointment!

New Patient Forms 

Print and complete each form. Bring with you to your first appointment OR fax completed forms to the office where the patient is seen.

If you see a dentist at the Broomall/Havertown office, forms may be emailed to: carly@childrens-dentistry.com.
We cannot accept emailed forms at any of our other offices.

Tip of the day

Prolonged pacifier use and thumb-sucking can cause changes in the shape of the roof of the mouth, prevent proper growth of the mouth and create problems with tooth alignment. The Academy of General Dentistry recommends that children stop using pacifiers by age one.

Read more tips

do not delete it used for the appending div

ADULT DENTISTRY

Visit our Adult Dentistry website to meet our dentists, view our services, and learn more about our patient information.

upper merion adult dentistry