For your confidence, Northwood Dental provides new patients with their necessary registration forms to fill out ahead of their appointment. We know that it can be overwhelming and stressful to fill out and complete your forms while sitting in the office. We don’t want you to feel rushed or have to sit and look for the information we need.
With our forms available to you at any time, you’re able to fill these out in the comfort of your own home, while you’re on the go, or anywhere in the world! There are also helpful tips on what to bring to your first appointment, recommended times to arrive, and much more.
It would be most helpful if you would fill the forms out prior to your appointment. Please be aware it will take about 15-20 minutes to complete them so please allow enough time ahead of your appointment if you plan on completing them in the office so that your appointment may begin on time.
Also please be aware that on any given form, if you click: Exit Without Finishing, your work will NOT be saved.
We are always trying to make sure all of our patients have up to date forms on file with our office. We thank you in advance for helping us keep all of your records up to date. If you are not sure if you need to fill out a specific form, go ahead and fill it out. We will delete it if it is not needed.
- MEDICAL HISTORY: If it has been more than 3 years since you last filled this form out or you have had changes to your medical history, please fill out this form.
- DENTAL HISTORY: If this is your first visit, please fill out this form.
- CONTACT, HIPAA (PRIVACY), FINANCIAL & INSURANCE INFORMATION: If this is your first visit, please fill out this form.
- PATIENT DEMOGRAPHICS: If this is your first visit or your information has changed, please fill out this form.
- HIPAA (PRIVACY) UPDATE: Fill this out only if we ask you to.
If you have any questions about our online forms, don’t hesitate to give our office a call at (651) 687-0789. If you haven’t made your appointment yet, request the best date and time for you using our online form.
Business Hours
Monday: 7:00AM - 5:00PM
Tuesday: 7:00AM - 5:00PM
Wednesday: 7:00AM - 5:00PM
Thursday: 7:00AM - 5:00PM
Friday: CLOSED
Saturday: CLOSED
Sunday: CLOSED