Patient Forms
| Please take a minute to either fill out each of the following documents online and email them to info@franklinpediatricdentistry.com or print and fill them out to bring with you to your first appointment. This will expedite the your check-in process: » Patient Form (Child) [PDF] | [DOC] » Notice of HIPPA [PDF] | [DOC] » HIPPA Signature [PDF] | [DOC] » Office Policy [PDF] | [DOC] You will need a Patient Form for each child, one copy of the HIPPA Signature sheet, and one copy of the Office Policy for your family. Print out the FPD Coloring Fun Page and bring it with you to your visit. We have a special place to hang it in our office! » Franklin Pediatric Dentistry Coloring Fun Page [PDF] If you're unable to open PDF files, you can get Adobe Reader® for free. |
