Patient Forms

To help expedite your appointment, please click on the links below to download the forms.


You can fill out the forms and print to bring to your appointment.


The files are Acrobat (pdf) format and if you do not have the Acrobat reader please click the link below to download it for free.

Medical History Form

Patient Information Form

Financial Arrangements Form

Claim and Release Authorization

Notice of Privacy Practices

Privacy Practices Acknowledgement

You will need Adobe Reader to view these Documents














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Meet our hygienist, Colleen
Northshore Dental
Key Questions to Ask