Parker City Dental Forms

New patients at Parker City Family Dental are asked to complete several important questionnaire forms. This information is required to assure you will receive the best dental care.

When you arrive for your first appointment you will be asked to complete a general information form. This information relates to basic family history information. Dr. Friedman will request that you complete a medical history form and a dental health history form.

These forms are available for printing. Click on the links below to view them. They are in Adobe Acrobat format (PDF):


Dental Health Form Medical History Form