At Richland Northeast Dental, our goal is to deliver the best experience for our patients! We understand that just about everyone has a busy schedule, and believe that worrying about your future visit to the dentist should not be an additional concern. For your convenience, we are now happy to offer access to the patient forms online.
We provide two convenient ways for you to complete your new patient forms. We have conveniently posted them here for you to fill out prior to arriving for your appointment; just print them from your home computer, complete them and bring them to your appointment. If you prefer to fill out your paperwork in our office, please allow a little extra time prior to your scheduled appointment time.
- New Patient Registration Form
- Health History Form
- Consent form for Services
- No Show and Cancellation policy
- General Treatment Consent form
- COVID-19 TX Consent
- COVID-19 Patient Screening
- Authorization Form
- Communication Consent Form
- Notice of Privacy Practices
We look forward to working with you!