filling out form a The Kids Dentist

Welcome to The Kids Dentist

Please click below to visit our online pediatric dental forms before your appointment This will minimize your time spent in our waiting room.

The Kids Dentist Patient Forms:

1. New Patient Registration — 1 form per CHILD

2. Existing Patient Check In and COVID 19 Screening  – One form per child– To be filled out no earlier than 24 hours prior to appointment

3. Nitrous Oxide Consent Form

4. Silver Diamine Fluoride (SDF) Consent Form

5. COVID 19 Screening PLEASE FILL OUT NO EARLIER THAN 24 HOURS PRIOR TO APPOINTMENT –1 form per FAMILY

CONTACT US

We will do our best to get back to you in a timely manner! You can always call the office for more immediate attention or for emergencies. 262-241-0400