Ferguson Family Dental

New Patient Forms

Welcome to Ferguson Family Dental! We look forward to getting to know you better so that we can set you on a path towards optimal oral health and a brighter smile.

Please arrive at your appointment 15 minutes early to fill out or update your Health History Information. We will ask you for information about the following:

 

Basic Contact and Personal Information

Most Recent Physical Exam

Current Care from a Physician (if applicable)

Past Hospitalizations

Current and Past Illnesses

Current and Past Medications

Allergies or Ill Effects from Medications

Women – Pregnant or Nursing

 

If you would prefer to print and fill out this information ahead of time, please find our form here.

 

Feel free to give us a call if you have any questions. See you soon!

Health History Form

Improve your smile today – call to schedule a consultation!
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