New Patient Forms

New Patient Forms Are Now Online

University Dental Associates offers our new patient form(s) online so they can be completed in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Forms - Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

1. Patient Registration Form

2. Medical History Form

3. Financial Policy and Consents. Download and read our Privacy Policy here.