Elk River Family Dentistry

763.441.9181
303 Main Street, Elk River, MN 55330



 

Patient Forms 

Please complete and bring the following forms to your previous dentist. To provide a thorough initial exam we do need your previous dental treatment prior to your initial dental appointment.
  • New patient authorization
  • New patient previous treatment

Please complete and bring the following forms to your first appointment.

 

  • Patient information form
  • Consent for use form

Patient Authorization for Release  

 

 
Patient Information Form  
 

New Patient Previous Treatment  

 

 

Consent For Use and Disclosure Of Health Information

 

New Patient HIPPA Forms

 

 

New Patient Family