Tatum Pediatric Dentistry
Dr. James Guymon

New Patient Forms

Save time by completing your forms before your visit! If you have any questions along the way, please don’t hesitate to give us a call. We’re here to help!

Patient Information/Dental History

Health History

HIPAA/Financial Agreement

Request for Release of Dental/Medical Records

If your child/children has had xrays taken at a previous dental office, we will need this form to allow us to obtain necessary documents and xrays before the scheduled appointment.
 

Are You Ready to Book Your Dental Visit?
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