New Patient Forms

Like most medical offices, we ask that new patients give us certain information to help us provide better care. We know your time is valuable, and we make every effort to see you at your scheduled appointment time. To make the intake process easier and to save time, we ask that you fill out our New Patient Registration Form ahead of time. Use your computer to fill out the form, then print the form and fax it to us or bring it to our office on your first appointment.

Form Instructions

In order to fill out these forms, you will need to download Adobe Reader, a free program that will allow you to read and fill out the forms. We’ll break this simple process down step by step in the sections below. Once you have these forms filled out, you can email them to us at Contact@westendnashvilledentist.com or simply bring them during your next visit.

Step One

The first step in this process is to download Adobe Reader. Adobe Reader is a free software that will allow you to fill out these forms on your computer, and then email them to us as an attachment. Click the button below to download the Adobe Reader software.

Step Two

The second step is to download the forms you’ll be filling out. Click the links below to download the desired form and save them to your computer in an easy-to-access location (Desktop).

Step Three

Once you have Adobe Reader installed and you’ve downloaded the desired forms, open Adobe Reader and import the forms to be filled out. Once the forms have been filled out, save them to your computer and send them to us via email, or simply bring them with you during your next visit.

Patient Registration Medical History HIPPA Form