House Family Dental

New Patient Forms

Save time by downloading and filling out your necessary forms before your appointment. Feel free to give us a call if you have any questions.

New Patient Registration Form

Medical & Dental Health History

HIPAA & Financial Policy

Minor Proxy Authorization

This form only needs to be completed by a Parent/Legal Guardian of patients under the age of 18

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (719) 924-8623
View the ADA Accessibility Statement