Paperwork
Board with your ticket already punched
Bring these completed and your child heads straight back instead of waiting while a parent fills out a clipboard. Prefer to do it here? Arrive about fifteen minutes early and we will hand you everything at the desk.
Your boarding documents
New patient registration
Parent or guardian contact information, responsible party, and how you found us.
About 3 minutes
Child health & dental history
Medical conditions, medications, allergies, and any previous dental experiences.
About 5 minutes
Consent for treatment
Permission to examine, clean, and take x-rays, signed by a parent or legal guardian.
About 1 minute
Insurance & financial policy
Dental plan details plus our payment and appointment policies to review and sign.
About 2 minutes
What to bring on the day
- Your dental insurance card
- A photo ID for the responsible party
- A list of your child's current medications
- Any x-rays or records from a previous dentist
Questions about a form? Call 402.421.8021 and our front desk will walk you through it.