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

DOWNLOAD

 

Consent to Proceed

DOWNLOAD

 

Consent for Use and Disclosure of Health Information

DOWNLOAD

 

Acknowledgement of Receipt of Notice

DOWNLOAD

 

Truth in Lending Statement

DOWNLOAD

 

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

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