Patient Forms

The simplest method for completing the steps necessary to become a patient is to contact our New Patient Coordinator via email at newpatient@eastviewdental.com at your convenience.

If you are unable to do so, please click on the links below to download and print our forms. Please complete and return the forms to our office and we will contact you to schedule your first visit.

New Patient Information Form

Adult Medical Form

Child Medical Form

First Appointment Policies Form

Office & Financial Policies Form

HIPAA Privacy Policy

HIPAA Form

Records Release Request Form

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