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Patient Forms

Pediatric Dentistry Patient Forms

At Epic Dental, we always welcome new patients and strive to make your child’s first appointment as simple as possible. To save you time, we have provided downloadable patient forms below in PDF format. Simply print the forms, complete them, and bring them with you to your first visit with us.

If you haven’t made an initial appointment for your child but are interested in doing so—or if you simply want to learn more about how our dedicated team can help—please click on the Book Online button at the top of this page. Once we receive your information, we will contact you to discuss your needs, answer any questions you have, and assist you in scheduling your first appointment.

Request an Appointment
Fill out the form or call us at 781.349.4750.

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Terms & Conditions

Here at Epic Dental, we work diligently to protect our patient's rights and privacy. Requesting an appointment via our Internet portal is considered part of what HIPAA has identified as electronically protected information (ePHI). Unfortunately, despite the best efforts we make or take, there are people or entities that may attempt to intercept the data you transmit to us. By checking the box, and electronically making an appointment, you understand that you are making an appointment over the internet and that Epic Dental will keep this information confidential but cannot guarantee that others, outside of our practice, may not illegally intercept this communication. As a result of continuing, you are sending this transmission and accepting the inherent risk(s) associated with making this request for an appointment. As an alternative, you are always welcome to contact our office via telephone to schedule your appointment.

Disclaimer

The information presented here is not intended or implied to be medical advice, diagnosis, or treatment. It should be used for informational purposes only.