These forms are password protected. The password will only be shared with school administrators participating in The School Dentist program. Contact us at info@schooldentist.com for more details.

• Patient Enrollment Form (pdf) - School administrators distribute this form for parents to complete before the child sees the School Dentist.
• Spanish Patient Enrollment Form (pdf)
• Arabic Patient Enrollment Form (pdf)
• School Dentist's Oral Health Report Card (pdf)
• HIPAA Privacy Practices (pdf)

You will need Adobe Acrobat Reader to view and print these forms. The reader is free to download.