Patient Forms

Once you have made your child’s first appointment, please click on each of the

below links in order to download and print each form to bring with you to the

office. We look forward to meeting you and your family!

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If you have questions regarding or accessing our forms, e-mail us at info@kidsteethRus.com or call our main telephone number (508-337-3307).

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COVID-19 Screening Form

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Medical Dental History Form
HIPAA Acknowledgement Form
Treatment Consent Form
Behavioral Assessment Form (for special needs children)

Save time when visiting our office and download your patient forms here.