filling out form a The Kids Dentist

Welcome to The Kids Dentist

Please download, print and fill out the pediatric dental form before your first appointment, this will minimize your time spent in our waiting room.

The Kids Dentist Patient Forms:

1.  Family/Patient Registration Form
2.  Medical/Dental History Form
3.  Consent to Perform Treatment
4.  HIPAA acknowledgment Form
5. Financial Agreement
6.  Notice of Privacy Policies  (for your records only)


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