Important Patient Forms
Thank you for scheduling an appointment at Dover Family and Cosmetic Dentistry! Please complete these important forms prior to you dental visit. If you are a new patient, please complete these forms prior to your first dental visit. If you are an existing patient, please complete the forms as needed if you need to update information (i.e. update address, phone number, medical history, etc.). You do not have to complete the forms for each visit but we will like to update your medical history at least one time per year. You can click on the link and complete the forms electronically.
1. Patient Registration Form: Please complete the Patient Registration Form if you are a new patient or if you need to update your information in our system (i.e. address change or new telephone number).
2. Insurance Information: Please complete the Insurance Information Form if you are a new patient and you have not provided your insurance information to us or if you need to update your insurance information.
3. Medical History: Please complete the Medical History Form if you are a new patient or if you need to update your medical history.
4. Financial Policy: Please complete the Financial Policy Form if you are a new patient.
5. Notice of Privacy Practices (HIPAA): Please complete the Notice of Privacy Practices Form (HIPAA) if you are a new patient.
Finally, if you are transferring from another office, please email your dental x-rays to firstname.lastname@example.org.
Please contact our office at 302-672-7766 or email@example.com or firstname.lastname@example.org if you have any questions or concerns.