Patient Forms
Download Patient Forms
It is our desire to make your experience at Alliance Dentistry as convenient as possible. So, if you would like to download our patient forms and complete them at your leisure, please select from the available forms below. Each form is available as a Microsoft Word document or a PDF.
Children (under 16) New Patient Packet
These are the forms required for patients under 16 years of age. Download All child forms. These links contain all forms in a single file.
Individual child forms.These links contain a single form per link.
- Patient Information Form
- HIPAA Form
- Financial Guidelines
- Child’s Health/Dental History
Adult New Patient Packet
These are the forms required for all of our adult patients.
Download All adult forms .These links contain all forms in a single file.
Individual adult forms.These links contain a single form per link.
- Patient Information Form
- HIPAA Form
- Financial Guidelines
- Adult Health History