Everhart Dentistry The Gentle Dentist on the Corner
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     New Patient Information

It is a legal requirement that all patients fill out and submit a health history form before any treatment is undertaken by a dental office. For your convenience we have made our health history and other forms available online.

We suggest you download and print these documents and fill them out prior to your appointment. This will not only give you plenty of time to completely answer the personal and medical history questions but will also help to ensure that your appointment starts on time.

Instructions:

  1. Download and print the following forms.
  2. Completely fill out the forms at your leisure.
  3. Bring in the completed forms on your first visit.

Click here (healthhistory_full.pdf, 6 MB) to download and view health history form. This may take a few minutes depending on your connection speed.

NOTE: You will need Adobe Acrobat Reader installed on your computer to view some of these documents. If you do not have it or do not know if it is already installed, click the icon below. It is free and is useful on many other websites as well.

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