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Forms


Welcome to Treasured Teeth. Thank you for taking the time to fill out our Patient Forms. Please select a tab below for your forms. Completely filled forms help us provide highest quality care for your child. If you have any questions, please give us a call. We are happy to assist you.

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New Patient Forms

 

The following are our new patient forms!

At your own leisure, please click on each of them

1. Print them out, then fill them out by pen.

2. Please
bring the 3 completed forms, your driver's license, and dental insurance cards to your child's first appointment.

Thank you.


pdfPatient Information Form


pdfMedical History Form

 

pdfDental History Form


For your reference, please also download our Finacial and Insurance Policy.

Understanding our payment policy and your insurance benefits.

 

pdfOur Financial Policy Form

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Kids Page Forms

The following are our Kids Page forms!

Please click on each of them; either Boy or Girl


1. Print them out, then color it in.


2. Have fun and good luck!

pdf Boys Coloring Book


pdf Girls Coloring Book


Also download our Maze, Word Search and Charts


pdfimages Maze

 

pdfimagesWord Search

 

pdfimagesBrushing Chart

 

pdfimagesBrushing Chart 2

 

pdfimagesThumb Chart

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Latest News On

 

Tooth Brush | Brushing |

Toothpaste with flouride should be introduced when a child is 2-3 years of age. Prior to that, parents should clean the child's teeth with water and a soft-bristled toothbrush.

Tooth     | Tooth Decay |

After each feeding, gently wipe your baby’s gums with a clean gauze pad.

Floss    | Check Up|

A child's first dental visit should be scheduled around his/her first birthday. The most important part of the visit is getting to know and becoming comfortable with a doctor and his staff.