Patient Forms for Initial Visit

Visit the new website for Fulmer Dentistry

Are you planning on visiting Dr. Fulmer and would like to limit how long you wait? Would you like to get a jump on filling out your patient forms?

If you’re stopping in for your first visit you have to fill out a Patient Information Form as well as a Protected Health Information Disclosure Form.

Filling them out before you come in for your appointment will save you time, expedite the process and make it easier for us to prepare to see you.

Both forms NEED to be filled out before you visit. 

Click to access the patient forms below

Patient Information Form – Online Version or Downloadable PDF

Protected Health Information Disclosure Form – Online Version

in accordance with HIPAA laws.