DENTAL FORM DOWNLOADS

New Patients!

Please download and complete all three of these PDF forms. You have several options for returning the forms to us:

1. Using Adobe Reader, you may print out the forms, fill them out, scan them and return by email to lisa@drkurtis.com.
2. Using Adobe Acrobat, you can download the forms, fill in the information on your screen and save the file for uploading to lisa@drkurtis.com.
3. You may print out the forms, complete them and bring to your first visit.

NEW PATIENT REGISTRATION FORM

NEW PATIENT QUESTIONNAIRE

MEDICAL HISTORY

Other forms which we may ask you to fill out as needed:

TMJ INFORMATIONAL HANDOUT

TMJ DETAILED QUESTIONNAIRE