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PATIENT FORMS

Please help us be prepared for your first appointment by completing our Patient Registration and Medical History forms. Download the document below to your computer, print and complete all four pages, and bring them with you to your first appointment.

Patient Forms:

Sleep Links:

TMD Links:

TRUDENTA® PATIENT FORMS

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Headache Relief TruDenta® Health History Form (For TruDenta® Only) PDF
  • Headache Relief TruDenta® Headache History Form (For TruDenta® Only) PDF
  • If you’re unable to open PDF files, you can get Adobe Reader® for free.

These documents are in Adobe PDF format. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.

Contact Us

This is the best dental office I have ever been to...and believe me I have been to A LOT over the past 10 years!. Each staff member is super friendly and the Dr. Shannahan is an amazing dentist! I highly recommend!

-Kara M.
Flagstaff, AZ