We are offering our patient forms online in Adobe Acrobat format, so you can complete them in the convenience of your own home. Please take the time to fill them out and bring them with you to your appointment. And, please don’t hesitate to contact the office if you have any questions.

Along with these essential forms we have also included some helpful information on some common topics. We hope that you find them informative and useful. Thank you.

Click here if you need Acrobat Reader: Download Acrobat Reader Here
Forms
Office Policies Information about first visits, appointments, insurance, etc.
Click here for form »
Child’s Registration
& History
Used to document your child’s health history and registration information before starting care with our office. Click here for form »
Records
Transfer
Used to request copies of your dental records and radiographs (x-rays) from your previous dentist. Click here for form »
Nitrous Oxide
Release Form
Authorizes use of nitrous oxide sedation. Click here for form »
Information Documents
The documents below provide information on some common oral health concerns.
Extraction Post-op Instructions Instructions for Parents about providing Oral Care for child after an extraction procedure. Click here for form »
Trauma To Primary (Baby) Teeth Guidance about oral care following a traumatic dental incident.
Click here for form »
Trauma To Secondary (Adult) Teeth Guidance about oral care following a traumatic dental incident.
Click here for form »
Care
for Cold Sores
Oral
care advice for treating Cold Sores. Click here for form »
Care
for Canker Sores
Oral
care advice for treating Canker Sores. Click here for form »

If you have questions or would like more information please contact us by Phone: 603 635-1166, Fax: 603 635-1186 or Send Email to: Collins Dentistry for Children