New Patient Forms

We’re excited you’ve chosen our practice.

Download, fill out and email these forms to jtheurerddspc@gmail.com prior to coming in. This will speed up your first visit and make it more enjoyable. Thanks again for choosing Theurer Family Dental, we look forward to your visit.

Patient Questionnaire (click to download PDF)

Medical History Form (click to download PDF)

Dental History Form (click to download PDF)

Need a dentist in Utah? Salt Lake City dentist, Dr. Jared Theurer, provides a unique and comfortable patient experience in all aspects of dentistry including cosmetic dentistry, dental implants, sedation dentistry and much more. He serves patients in Salt Lake City, Utah and surrounding areas. Dr. Theurer and our entire team take great pride in not only making your dental visit comfortable, but also in providing remarkable value and service. Call us today!
801-486-9649 1955 South 1300 East Ste. L2 | Salt Lake City, UT | 84105