Forms
An unfortunate part of healthcare in the 21st century, below you can find a complete list of all of our forms. If you are a new patient, check out our welcome page, for a less daunting list of forms and more on what you can expect at your first visit.
Our office has partnered with PandaDoc to allow you to easily and securely complete forms online with instantaneous delivery to our team. Or, you can download and print them using a PDF viewer of choice, such as Adobe Reader.
If you would prefer a paper copy of a form, please contact us and we will mail one to you or have it ready for you to pick up in person.
Records request
Request for records to be sent to Grand Dental from another dental provider.
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Records release
Request your dental records be sent to you or another location, such as another dentist office.
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Referring doctors
Refer a patient to Grand Dental.
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New patient forms
Patient onboarding paperwork.
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Release of PHI
Release health information on an ongoing basis to someone that you designate.
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Request for access
Request access to someones dental record.
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