Dr. Rachel gets to know baby while new patient forms are processed.

New Patient Forms

Dr. Laura, Dr. Rachel, and Team know that families have busy lives.  The last thing any of us wants to do is spend more time at an appointment than is necessary!  In an effort to reduce the amout of waiting room time you and your child experience on your first visit, we ask you to consider printing out and completing the forms below.

By bringing in the completed forms below, you’ll reduce your time in the waiting room, especially on your first visit.

We know that there’s a lot of paperwork, but we want to make sure we give your child the best care possible.  Thus, the more complete information we have about your child’s health history, the better. Plan 30 minutes to complete all of the forms listed below.

If you have questions about any of these forms, please don’t hesitate to call our office at (330) 425-1885. A team member will be happy to assist you.

If you’d like to fax your forms to our office, our fax number is (330) 425-1589.

Patient Resources

Looking for a way to encourage good, daily brushing and flossing habits at home? Try our brushing chart!