At Kids Rock! Pediatric Dentistry, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.
- Financial Policy (Print one per family)
- Acknowledgement of Receipt of HIPAA Notice of Privacy Practices (Print one per family)
- Patient Registration (Family) (Print one per family)
- Medical History (Print one per child)
- Kids Rock! Pediatric Dentistry Notice of Privacy Practices (For your information only, no need to print)
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