509.946.6566

Where Dental Care Meets Health Care

Patient Forms

Please help us be prepared for your first appointment by completing this Patient Information and Medical History form. 

Instructions

Download the form below (in PDF format) to your computer, print it out, complete the form, and bring it with you to your first appointment. Thank you!

  • New Patient Registration Form

  • Privacy Policy & Health Care Release

  • Patient Records Request Form

New Dental Patient Forms
Cosmetic Dentistry

Cosmetic Dentistry

Family Dentistry

Family Dentistry

Periodontal Care

Periodontal Care

TMJ Headache

TMJ / Headaches

Sedation Dentistry

Sedation Dentistry

Mouth Body Connection

Obstructive Sleep Apnea

The Center for Dental Health
1518 Jadwin Avenue
Richland, WA 99354

(509) 946-6566

©2016 The Center for Dental Health - All Rights Reserved

Web Design by Cougar Digital | Privacy Policy

Share This