Patient Forms

New Patient Forms

At Gentle Care Cosmetic Dental, we are committed to providing you and your family with friendly, gentle, high quality dental care. It is our goal to make you feel comfortable visiting our practice while providing you with the best oral care possible. It is our mission to make your first visit and future visits all about you, your comfort, and your health and to make your entire dental experience a pleasant one.

Bring your smile, but also remember to bring these with you to your first appointment:

 Your Insurance Card

 A Picture ID

Your completed:


Health History Form


Insurance and Family Information


Notice of Privacy Signature


Appointment Cancellation / No Show Policy


Please take a moment and fill out our patient information form. If you have any questions along the way, please feel free to contact our practice.

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