For Your First Visit
We now have updated electronic forms! Call our office and we can send you a link to fill out all your forms. No more tedious paperwork or printing required!
If you still want to use paper, please print, fill in and sign:
Updating Your Information
If you are a current patient at our office and need to update your information, please use the following form:

For Your Reference
Separate forms and other forms for reference:
- Records Release: To Hillside Dental at Bethany
- Records Release: From Hillside Dental at Bethany
- Patient Information, Dental History Form
- Patient Medical History Form
- Office Policies, Agreement and Consent
- Notice of Privacy Practices
- Receipt of Notice of Privacy Practices
- Informed Consent Form for General Dentistry
- Records Release: Authorization