Important Documents

You now have the option to complete online forms through your computer or phone. Please click on the link below for the office you will be visiting for your upcoming appointment.

Mankato

New Ulm

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PRINTABLE FORMS

NEW PATIENT FORMS – Please print and complete one form for each child. If you have more than one child coming to our office, you will only need to complete one Financial Agreement, General Patient Information and HIPAA Authorization Form for your family.

• Consent Form
• Financial Agreement
• Medical History
• General Patient Information
• HIPAA Authorization Form
• HIPAA Policy

ADDITIONAL FORMS:

• Additional Caregiver Consent– Please complete if there will be additional people bringing your children to their appointments
• Authorized Release of Information – Please complete this form when records should be transferred to or from another dental office
• Minnesota Health Care Program Waiver – Please complete this form if your child/children have UCare or Blue Plus.