Anthem Pediatric Dentistry does everything in our power to be a pediatric dentist that makes the lives of their patients easier. First and foremost, we do this through providing compassionate, experienced, and personalized dental care for children and adolescents. But we also do our best to go above and beyond expectations through providing patient forms, practically beneficial blogs, and more. Reach out to us if you have any questions about our pediatric dentistry forms — or otherwise!

Patient Information Form

ONE FORM PER FAMILY

General Information & Medical History

USE AN ADDITIONAL FORM FOR EACH PATIENT (2 CHILDREN = 2 FORMS)

Behavior Management Techniques

ONE FORM PER FAMILY

Accompanying Child Consent Form

USE FOR EACH PATIENT IF YOU WILL BE UNABLE TO ACCOMPANY YOUR CHILD TO THE DENTIST.

Financial Policy Form