Dental Health Center • 1441 Carlisle Blvd. NE, Suite D • Albuquerque, NM 87110 • 505-256-1770 phone • 505-255-0220 fax  

   
 

New Patient Forms

 

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

Acquaintance Form
(Acrobat 18 KB)

Health History Form
(Acrobat 12 KB)

Dental Health Questionnaire Form
(Acrobat 14 KB)

Comprehensive New Patient Evaluation
(Acrobat 28 KB)

©2002 Tim Kelly, DMD  

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