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Dragon Dental Call: 775-782-9755

Gardnerville Dental Patient Forms - Dragon Dental

If you are a NEW PATIENT we are happy to MAIL you hard-copies of our patient registration forms prior to your first appointment with us.  If you prefer to print the forms yourself we have provided them below.  The forms are set up to print double-sided copies. 

Whichever method you choose, filling out the paperwork prior to your appointment and bringing them with you will allow us to attend to your dental needs more efficiently than completing them on your arrival.   

Thank you and please call Amy, Nan, or Barb at 775-782-9755 if you have any questions.

 

New Patient Forms:

 Confidential Patient Registration and Consent for Dental Treatment

 Notice Of Dragon Dental Patient Privacy Practices - HIPAA

 Patient HIPAA Acknowledgement/Info Disclosure and Dragon Dental Written Financial Policy

 Confidential Patient Dental and Medical Health History

 

Other Patient Forms that you may need for your initial appointment: 

 Dental X-Rays Release

 Permission To Treat A Dependent



Additional Informational Documents:

 Periodontal Surgery Post-Op Instructions

 Bleaching Instructions

 Occlusal Splints for Temporomandibular (TMD) Disorders, Bruxism or Clenching

 Physical Therapy for Temporomandibular Disorders (TMD)

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

1234 Waterloo Lane    |    Gardnerville, NV 89410    |    Call 775.782.9755