Gainesville, FL dental office, Millhopper Family Dentistry
New Patient Forms

New patient forms are in PDF format. Click on the link to download the forms. Then print the forms, fill them out, and bring them with you on your first visit.

If you do not have Acrobat Reader, get a free copy by clicking on the link below.

Welcome Message

Adobe PDFAdobe ReaderPatient Registration and Health History

Adobe PDFStandard Financial Options and Standard Fees Agreement

Adobe PDFAttending Dentist's Statement

Also, after reading our Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

Acknowledgement of Receipt of Notice of Privacy Practices