Forms
We’re Getting Ready for You
Complete Your Forms From Home
Make your first visit as smooth and comfortable as possible, we invite you to complete your new patient forms online before you arrive. It only takes a few minutes, and it means you can skip the clipboard and get settled in right away. If you have any questions while filling out your forms, don’t hesitate to give our team a call — we’re happy to help.
New Patient Forms
- Dental History (PDF)
- Medical History (PDF)
- Office Policy (PDF)
- HIPPA Authorization (PDF)
- Patient Registration Form (PDF)
- Request to Communicate Electronically (PDF)
- Notice of Privacy Practices (PDF)
Release Forms
- X-Ray release form (Word Doc)
- Pregnancy release form (PDF)
- Medical Release form (Word Doc)
Financing & Insurance Information
Thank you for choosing Green Valley Dental Care. Our primary mission is to deliver the best and most comprehensive dental care available by providing consistent quality care to our patients through education, communication, and superior patient service. An important part of that mission is making the cost of optimal care as easy and manageable for our patients as possible by working with several dental insurance companies and offering several payment options.
