Forms: Initial Visit Forms
Dental History Form
Complete form, sign and bring to first visitView Form
Notice of Privacy Practices
For patient reference, does not need to be brought inView Form
Acknowledgement of Receipt of HIPAA Privacy Policies and Procedures
Complete form, sign and bring to first visitView Form
Financial Guidelines
Complete form, sign and bring to first visitView FormForms: Other Forms and Information
Consent to Discuss Treatment With Another Party
View Form
Permission Slip to Treat Minor Patient
View Form
Drug Take Back Program - Chisago County
Learn how you can properly dispose of unused medications.Learn More