Patient Forms
If you would like to complete your registration forms before you arrive, you may download them by clicking below. The New Patient Form and Health History Form are in PDF format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.
Wasilla Patient Forms
- New Patient Form
- Signature On File Form
- Financial Agreement And Authorization For Treatment
- Consent For Use And Disclosure Of Health Information Form
- Authorization To Release Dental Records
- Emergency Record
