New Patients

Dental Patient Forms

Please click on the links below to View/Print or Email patient forms.

The forms are available in electronic PDF format. You will need a free PDF Reader App to fill out on your computer.

Desktop: Ensure the form is being downloaded and opened in Adobe Reader  or Foxit PDF Reader.

Mobile: If opened on a mobile device, it must be “opened within” an app – such as Adobe Reader.

In Acrobat Reader, to sign your document, use the signature tool  . Or fill out everything except the signature, send it in via email or the Submit button, and sign it when you come in for your appointment.

You can then email completed form(s) to info@westrangedental.com, or:

You may also print them out on your home computer/printer, fill them out and bring them in when you come for your appointment.