Patient Forms
To make your visit as smooth and efficient as possible, Dental Care Associates provides all necessary patient forms online. We encourage you to complete your paperwork prior to your appointment to save time and help us better prepare for your care.
New Patient Forms
Please download, print, and complete the following forms before your visit:
Patient Information Form
Provides us with your basic contact details, insurance information, and emergency contacts.
Medical History Form
Helps our team understand your overall health, current medications, and any conditions that may affect your dental care.
Dental History Form
Gives our team insight into your past dental care, oral health concerns, previous treatments, and smile goals so we can better plan your visit.
Consent for Services
Outlines our financial policy, treatment consent, and patient responsibilities.
Notice of Privacy Practices (HIPAA)
Explains how your protected health information may be used and your rights under HIPAA, including your right to access and control your information.
What to Expect
Completing your forms ahead of time allows our team to:
- Review your medical history in advance
- Prepare for any specific dental needs or concerns
- Reduce your wait time at check-in
- Ensure a more personalized and efficient visit
Financial & Insurance Information
We are committed to transparency when it comes to your dental care costs:
- Payment is expected at the time of service unless prior arrangements are made
- We gladly assist in filing insurance claims on your behalf
- Patients are ultimately responsible for all charges, regardless of insurance coverage
- A service charge may apply to balances exceeding 60 days
Need Help?
If you have questions about completing your forms or need assistance, please contact our office. Our friendly team is happy to help guide you through the process.