Patient Forms
Attention Patients!
We're excited to announce a new online appointment scheduling process to make it easier for you and your family to book appointments with us. We have rolled out online appointment scheduling to our locations in Alabama, Florida, Oregon, Texas and Washington. As a result, filling out patient forms will become part of the new online appointment scheduling process. Click the button below to see a complete list of locations in Alabama, Florida, Oregon and Washington that are currently accepting online appointment scheduling.
Until online appointment scheduling is completely rolled out, patients from the following regions must continue to fill out patient forms prior to their appointment:
- Massachusetts
The new online appointment scheduling and patient form processes will soon be available for all Advantage Dental+ locations and will replace the existing experience.
We hope you'll find these new features convenient and helpful in scheduling your oral health care and we look forward to seeing you soon!
Welcome packet – This should be filled out by all new patients and all existing patients every 12 months. If you are not sure if you should fill this out, please print and bring it with you.
Paquete de bienvenida - Debe ser completado por todos los nuevos pacientes y todos los pacientes existentes cada 12 meses. Si no está seguro de si debe llenarlo, por favor imprímalo y tráigalo con usted.
Adult Welcome Packet - English
Adult Welcome Packet - Spanish
Child Welcome Packet - English
Child Welcome Packet - Spanish
Acknowledgment of Notice of Privacy Policy & Non-Discrimination Disclosure Notice – Please review these policies, then print and sign the acknowledgment form and bring it to your appointment.
Confirmación de notificación sobre la política de privacidad y la de no discriminación - Por favor, revise estas políticas, luego imprima y firme el formulario de confirmación y tráigalo a su cita.
Notice of Privacy Policy - English
Notice of Privacy Policy - Spanish
Non-Discrimination Disclosure Notice
Acknowledgment of Privacy and Non-Discrimination Policy - English/Spanish
Consent to Recieve Mobile Communications – Please review the document, if applicable, then print and sign the acknowledgment form and bring it to your appointment.
Consentimiento para recibir comunicaciones móviles - Por favor revise el documento, si corresponde, luego imprima y firme el formulario de confirmación y tráigalo a su cita.
Consent to Receive Mobile Communications - English
Consent to Receive Mobile Communications - Spanish