SAVE TIME at the Dental Office!
Online health insurance, patient, and office forms
Download the following office forms. Read them online, print them out, fill them in, and bring them with you to your next appointment. Easy, convenient, and saves you time!


New Patient Information: ADULT
General info about you, your insurance and medical history.

DOWNLOADS
SIDE 1
488k
SIDE 2
576k

read online
SIDE 1
183k
SIDE 2
223k

New Patient Information:
CHILD

General info about your child, their insurance and medical history.

DOWNLOADS
SIDE 1
552k
SIDE 2
572k

read online
SIDE 1
204k
SIDE 2
208k

Financial Options
Detailed information on your payment options with the Colchester Dental Group.

DOWNLOADS
SIDE 1
876k
SIDE 2
578k

read online
SIDE 1
158k
SIDE 2
89k

Health History
for Sedation Patients
Questions we need to know about you for your sedation session.

DOWNLOADS
SIDE 1
824k
SIDE 2
660k

read online
SIDE 1
125k
SIDE 2
106k

Colchester Dental Group
LIMITED WARRANTY
We are proud to offer this warranty on our services.

DOWNLOADS
SIDE 1
123k

read online
SIDE 1
80k

Notice of Privacy Practices
Our legal duties, uses and disclosures of health information and your patient rights are presented in this document.

DOWNLOADS
SIDE 1
300k
SIDE 2
277k

read online
SIDE 1
209k
SIDE 2
209k

DOWNLOAD INSTRUCTIONS: The files above are all in PDF (Portable Document Format) and require Adobe Acrobat Reader to view and print from your computer. If you do not have the application installed on your computer, you can download it FREE by clicking the icon below. Once the file(s) has been downloaded, you can then view and print it from the Reader application.

Get Adobe Acrobat Reader





Images and content ©2004-05 - Colchester Dental Group, LLC - Site designed and maintained by Sunset Graphics