Patient Forms

Instructions for downloading patient forms

Note:  Our forms require Adobe Acrobat Reader. If your computer does not have this software, it is available for free download here:

We have made all of our patient forms available to you in one location as Adobe Acrobat 5 files. For your safety and convenience, we recommend printing and completing these forms in the comfort of your home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly mail, email, or fax them to you.

Pre-Operative Instructions Form Medical History Update Form General Disclosure & Consent Form Post-Operative Instructions Form Acknowledgment of Privacy Practices Form

Supplemental Forms

The following supplemental forms may also be printed, as needed, based on what type of procedure you are having. Please ask your dentist or Dr. Peters whether or not you require any of these forms.

Medical Consultation Form

Implant Consent Form
(for dental implant procedures ONLY)
Bone Grafting Consent Form
(for bone grafting procedures ONLY)

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