Worthington Family Dentistry

It's easy to start smiling now

It's nice to have options. That's why we give you the choice to complete your registration forms at home or at our office when you come in for your first visit. If you'd like to save time and fill them out at home, simply download and print the forms below, fill them out and bring them with you to your appointment.

Please call if you have questions about any of the health issues on the forms.

Download Patient Forms

   
Form Name Type
   
New Patient History PDF
Patient Notice of Privacy Practices PDF
   
   

If you need the Adobe Reader to open or print documents from our website, you can download the latest version located at www.adobe.com.