Patient Forms

Dental Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Reilly Dental is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental x-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Schedule A Consultation

FILL OUT THE FORM OR CALL US

WHAT HAPPENS IN A CONSULTATION?

01 Get to know our team.

02 Help us understand you and your goals.

03 Learn about our services and specialties.

HOW MAY WE HELP?

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.

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