New Patient Forms

We’re excited you’ve chosen our practice.

You can download these three forms, print them, and fill them out 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)

  • Share/Bookmark