Patient Forms

To save time on your appointment, please print and complete the required forms in advance.

All new patients must complete a New Patient Form and a Medical History Form to become a patient of Touro Dental Health. If you are an existing patient, and your contact information, medical history or insurance coverage has changed, please complete the necessary information and bring the forms with you to your next scheduled appointment.

New Patient Forms

Registration Form (ENGLISH)

Registration Form (SPANISH)

Medical History Forms

Medical History Form (Adults)

Medical History Form (Children Under Age 16)

Special Event Forms

Give Kids A Smile Day 2019 Forms