New Patient Forms

Your First Visit

Getting ready to make your first visit to Bestcare Dental? Having the following forms ready ahead of time will make your initial experience with us go as smoothly as possible.

  1. Download and print the forms found below
  2. Fill out each form carefully and completely
  3. Bring these with you to your first apppointment

If you have any questions, please give us a call at any time (801-225-0471).


Patient Information



Consent to Proceed



Consent for Use and Disclosure of Health Information



Acknowledgement of Receipt of Notice



Truth in Lending Statement



Haven't made your first appointment yet? Visit our Making An Appointment page to get started.


Not sure what this transparent panel is for, so I'll leave it for now until I figure out what it does.