814-643-7300Here at Modern Family Dentistry, LLC, we want to help you have an easier time during your dental appointment. By filling out our patient forms in advance, you can save more time during the beginning of your visit! If you would like to set up an appointment with our dentist in Huntingdon, Pennsylvania, contact us today at 814-643-7300 and ask for Dr. Andrew Wilson.
The below forms can be printed out for your convenience as well:
- Patient Medical History (Please complete front & back of this form & also sign/date the back)
- Office Policies & Procedures (Please sign/date the last page and return only that page)
- Notice of Privacy Practices (Yours to keep)
- Notice of Privacy Practices Acknowledgement (Please sign/date and return)
- Text/Email Confirmation (Please complete & return)
- How Did You Hear About Us? (Please complete & return)
- Patient Consent Form (Please complete and return)
