Patient Forms

For your convenience. For our records.

Online Patient Form: Convenient and time saving. So we can go directly to what matters: Your smile!

Tell us about yourself

You know how sometimes you go to the office of a medical professional, and you’re handed a clipboard with a form to fill out? Perhaps you don’t have all the information you need. Maybe your appointment is delayed if the form isn’t completed.

At Flax Dental, we want you to come comfortably prepared for your appointment. That’s why we ask you to complete your patient form ahead of time. That way, when you walk in, you can hand us your completed form and we have everything we need to know.

Please click the link below to download and print the Patient Form. You will need Adobe Reader to view this file. You can also download it by clicking on the link below.

Thank you. We look forward to seeing you in the office soon!

Download Adobe Reader

New Patient Form (PDF)