Our office forms are available in both English and Español. For your convenience, feel free to fill out these forms prior to stopping by our office for your appointment. If you have any questions regarding the forms, please call 775-461-3800 or stop by our Carson City or Dayton, Nevada, offices. Our Carson City Pediatric Dentistry and Dayton Pediatric Dentistry team will be glad to help or get you in contact with our dentists.

 

Download PDF Forms

COVID-19 Screening Form

New Patients

Financial Policy

Health History Form

HIPAA Notice

Carson City Pediatric Dentistry Office & Appointment Policy

Permission for Other to Bring Child