Patient Forms
To help us keep your appointment on schedule and maintain accurate records for your care and insurance claims, please complete the necessary forms prior to your visit. Thank you!
Notice: You'll need Adobe™ Acrobat Reader to view and print these forms. If you don't have it, you can download it for free from Adobe.
For Our New Patients
If this is your first visit, please download, print, and fill out these forms before your appointment. You can mail them to us, bring them with you 5-10 minutes before your scheduled time, or scan and email them to office@drhendersondds.com.
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Record Release Form (If transferring records, complete and submit to your previous dental office)
For Our Current Patients
To ensure your records are always up-to-date, please be ready to update your forms. You can download and print them from this site to bring with you, or update them when you arrive at our office.
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Your Account Information Form should be updated at least once a year for your family, or any time there's a change in your billing or insurance details.
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Your Patient Medical History needs to be updated every six months for each patient.