Medical History Form Introduction

New Patient Form / Medical History Form

Choice Dental New Patient Form Mobile Phone Input Thank you for choosing Choice Dental to take care of your oral health needs. Before your first dental appointment and to ensure we provide you with the best care possible, it is important that you complete the following Medical History Form accurately.

Please click this link to complete our Medical History Form.  This Medical History Form is sent via a secure network so your records are kept private at all times.

Please Note: It is only necessary to complete this form if you have an upcoming dental appointment scheduled.Choice Dental New Patient Form

You also can scan QR code to log on new patient form