Plainville - Patient Forms

plainville dental group

Patient Form Access

For your convenience, all new patient paperwork can be accessed online. If you should have any difficulty accessing these forms, please call our office and a knowledgeable staff member will be happy to assist you.

Patient Log In
New Patient Forms

Alternatively, you can print out the relevant forms below and fill them out at home, and then bring them with you to your appointment.

Registration
Dental History
Medical History
Child Medical & Dental History

If you have been told you need sleep apnea care, please complete the forms below:

Sleep Links:

• Sleep History/Exam/Workup
• Sleep Appliance Adjustment Follow-Up
• Sleep Long Term Follow-Up
• Sleep Screening Consultation

If you have been told you need TMD care, please complete the forms below:

TMD Links:

• TMD Screening Consultation
• TMD Head, Neck Pain Exam and Workup

If you have been told you need Oral Surgery, Dental Implant Placement, Orthodontic Care or Periodontal Care, please complete the related form below:

Other Links:

• Oral Surgery/Implant
• Periodontal Questionnaire and Exam
• Orthodontic Questionnaire and Exam

Pre/Post Operative Instructions

Before Root Canal Treatment
Root Canal Home Care Instructions
Root Canal Treatment
Laser Gum Disease Instructions
Scaling and Root Planing Instructions
Surgical Instructions