New Patient Forms

New Patient Online Forms

FUNtastic Pediatric 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:


Teledentistry Consent

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)

Please fill out this consent form prior to your virtual visit:
Teledentistry Consent Form