New Patient Forms

New Patient Online Forms

FUNtastic Pediatric Dental and FUNtastic Dental offers our patient forms online so they can be completed in the convenience of your own device, before you arrive to our dental practice. One New Patient Registration  and one Medical History page must be filled out per patient. All other forms may be filled out per family. 

Once submitted, our Team will make sure your information is secure:

 Pediatric New Patient Registration (17 years and younger)

Adult New Patient Registration (18 years and older)

Teledentistry Form (Please fill out the teledentistry consent form prior to your virtual visit.)

FUNtastic Pediatric Dental now offers virtual visits online. As COVID-19 continues to be a concern in our own community, we are taking measures to ensure our patients, visitors, and team members are not subjected to unnecessary exposure.
During your teledentistry visit, you can:

  • Speak with a FUNtastic Doctor face-to-face
  • Diagnose & treat dental or orthodontic concerns (and emergencies)