Downloadable Patient Health History Forms

We have 3 health history forms for you to complete prior to your first appointment.

On this page are the forms you download and complete on your computer and print them or email them to us.

Click on the name of the form below to download and use your computer to complete them!

Important notes about downloading the forms:

  1. Since the forms are all PDF documents, to fill out the forms on your computer you need to have a free copy of Adobe Acrobat Reader installed.  If you do not have it, click here to download Adobe Acrobat Reader and follow the instructions to install it.
  2. Open each form by clicking on the link above.  Then save the file to your computer with your last name in front of the file name.  Here are simple instructions:
    1. Click on “File>Save As”
    2. Rename the file with your last name as the first name of the title i.e. if your last name is Flintstone, when you download the file to your computer, rename the file Flintstone Health History Form or Flintstone Patient Information Form, etc.
  3. Complete the form and save it.  Then, either print it and bring it with you to your first appointment or attach it to an email addressed to dentalforms@dentalimpressions.org.

If you would rather just print out the forms, complete them by hand to bring with you, click here to go to the printed forms page.