Patient Forms


Now here is a time-saver!

On this page, you will find a printable PDF file to download and print for your convenience. The History Form is an important aid in planning for your child’s dental, medical, and emotional needs. Once you print this history form, please fill it out and bring it with you on your first appointment. Included with the History Form you will also find our Tots To Teens Payment Policy and the HIPPA information you need to know.

In order to print and use these forms, you’ll need to have Adobe® Acrobat® Reader installed on your computer.

Donwload the form in English

Donwload the form in Spanish

If you have any problems downloading and printing these forms, please contact our office. We are very excited about meeting you and your child on your initial visit, and look forward to a long beneficial relationship.

Our doctors at Tots To Teens & In-Bee-Tween are dedicated to meeting your pediatric and orthodontic dental needs.

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Many tots start here
with their first tooth, and grow with us.