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 Information Form – One form per family (up to 4 children)
- General Info & Medical History – Use an additional form for each patient (2 children = 2 forms)
- Behavior Management Techniques Form – One form per family
- Anthem Pediatric Dentistry Financial Policies Form – One form per family
If you will be unable to accompany your child to the dentist:
- Accompanying Child Consent Form – Use an additional form for each patient