Dental Patient Forms
Valley Dental Works wants to understand your health and needs. We respect your time and allow a preference in how you complete our paperwork.
- The forms may be printed from below and then you may bring them to your first visit.
- We are happy to mail a set to you.
- If you prefer to complete them in the office, please allow a few extra minutes before your appointment to avoid feeling rushed.
If you would like your dental insurance to be billed, please bring your card as well.
- Patient Information Form
- Health History Form
- Dental History Form
- Notice of Privacy Practices
- Acknowledgement and Receipt of Notice of Privacy Practices
- How We Do Business
- Agreement to Receive Electronic Communications
These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo below to download.