• Pediatric Dentist
    Chad W Ellsworth, DMD, MS
    Jeffrey A Cox, DDS
    Levi J Sorenson, DMD
    Sulabh H Shroff, DMD

    General Dentist
    Limited to Children

    Jeffrey A Kinner, DDS

    Orthodontist
    Alfred A Thresher, DDS

  • Pediatric Dentist
    Chad W Ellsworth, DMD, MS
    Jeffrey A Cox, DDS
    Levi J Sorenson, DMD
    Sulabh H Shroff, DMD

    General Dentist
    Limited to Children

    Jeffrey A Kinner, DDS

    Orthodontist
    Alfred A Thresher, DDS

Patient Forms

Note: You will need to have Adobe Reader installed on your computer to be able to view and print these documents. Click on the form name to access it, thank you.

Please print and complete the following forms prior to your first visit.


Patient Forms:


If you will be unable to accompany your child to the dentist:

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