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At RDDHS,  We use a HIPPA compliant program to collect and store all personal information. This form will take 4-5 minutes to complete and can be filled out on your smart phone or other device. Having your forms filled out ahead of time cuts down on your wait time in the clinic and helps us care for you more efficiently! This form only needs to be filled out once and will be kept on record for your following appointments.


Client Forms

Are you a new client with an appointment coming up?

Click below to download forms to be emailed back to or fill out our online form your form. Please send it back to us or print out and bring it in at your appointment.

If you have dental insurance, please have your information available.




COVID-19 Pre-Screening to be completed

prior to every appointment

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