View Our Locations

Medical Forms

For your convenience and as part of the Village Dental Care experience, we have supplied the following forms necessary to enter or update your information as a patient of Village Dental.  You can choose to fill out your form online and submit it electronically, OR you can print your form and bring it with you on your visit.

Are you an existing patient and just need to update your medical history?  Then choose the form below.

If you would like to print a copy of our Notice of Privacy Practices, click on the link below.

Should you have questions on these forms, or otherwise, please contact our office.