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New Patient Forms

Streamlined and Convenient New Patient Forms

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.

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.

New Patient Forms

GreshamSandyCamas

Offline Forms

Please print and fill out this form before your first office visit.  Thank you.

PDF Form

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

We’re excited to meet you and your child at Harmony Pediatric Dentistry!