Welcome to Harmony Pediatric Dentistry! We’re thrilled to welcome you and your child to our practice. To make your first visit as smooth and efficient as possible, we’ve provided all the necessary new patient forms in one convenient place. Completing these forms ahead of time ensures that we can focus on what matters most—your child’s dental care.
New Patient Forms
Streamlined and Convenient New Patient Forms
What to Expect
Our new patient forms are designed to gather essential information about your child’s health and dental history. This allows our team to provide personalized care tailored to their specific needs. These forms include:
- Patient Information Form: Details about your child and contact information for easy communication.
- Health History Form: Information about your child’s medical background to ensure safe and effective care.
- Insurance Information Form: Helping us streamline the billing process for your convenience.
- Consent and Privacy Forms: Outlining our policies and ensuring compliance with HIPAA regulations.

How to Complete the Forms
You have several convenient options for completing your new patient forms:
- Online Forms: Fill out and submit your forms securely through our website.
- Printable Forms: Download, print, and complete the forms at home. Bring them with you to your child’s first appointment.
- In-Office Completion: Arrive 15 minutes early to complete the forms at our office.
Why Complete Forms in Advance?
Completing your forms ahead of time helps us:
- Minimize wait times at the office.
- Better prepare for your child’s first visit.
- Focus more on your child’s comfort and care during the appointment.
Get Started Today
Gresham, OR
742 NE Division St #201, Gresham, OR 97030.
Phone: (503) 912-6250
Sandy, OR
37515 SE Hwy 26, Sandy, OR 97055.
Phone: (503) 912-6255
Camas, WA
5420 NW 38th Ave #102, Camas, WA 98607.
Phone: (360) 953-8879