(215) 268-3344

Patient Registration Forms

At Flawless Dental Group, we understand that your time is a valuable! To make your dental appointment a little quicker, we have made all of our patient forms available below. These forms can be downloaded and printed in the comfort of your own home to save you time and get you in and out of the Dental Chair that much quicker. Feel free to click on any of the forms below at your own convenience.

New Patient
Forms

Click the link below to download all of our New Patient Forms which you will need for your first visit

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New Patient Forms

Medical History
Update Form

If it has been 6 Months since your last visit, please fill out this quick Medical History Update Form

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Medical History Form

Minor Treatment
Consent Form

This Consent Form must be signed for anyone receiving Dental Treatment who is under the age of 18

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Minor Consent Form

HIPAA
Policy

Our Patients' information is always secure. Click the link below to download our full office HIPAA Policy

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HIPAA Policy