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New Patients - Engstrom Dental

New Patient Forms

If you are new to our office, there are a few forms that you can fill out prior to your visit to minimize your wait. Please download these forms, print them out and bring them with you for your first appointment.

Patient Medical/Dental History Form

HIPPA Acknowledgement

We value your rights as a patient and your privacy. Please review our HIPPA policy and fill out the final page prior to your first appointment. You will need to bring a printed copy with you.

HIPPA Acknowledgement

Dental Fact Sheet

We want to ensure that you have all the information you need regarding our practice and the materials we use. Please review, print and retain this form for your records.

Dental Material Fact Sheet