Patient Forms

Graff & Peterson Dental LLC Patient Forms - Download, Print & Complete Before Arrival

The first visit to our office is designed to get you better acquainted with all we offer as well as introducing you to the Doctors and our caring team.  We encourage questions and always do our best to deliver quality care.  Please take a moment prior to your scheduled appointment to download our patient forms.  We ask that you complete the following forms and bring them with you to your appointment so we may better assist you in a timely manner.  You do not need to print the HIPPA Privacy Act document, it is solely for your information.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs. 

Patient Registration

HIPPA Privacy Act

HIPPA Acknowledgement

Medical History

Dental Questionnaire

Payment Options

Consent Form