New Patient Forms

Auburn, ME Dentist

Please download and complete the forms below and bring them to your first appointment.  This will allow your new patient process to be completed more efficiently.

Our team will take comprehensive records and address any concerns or questions you may have.   If you have any problems downloading the forms, please contact our office and we will gladly send them to you.

• Adult – Health History & HIPPA Form
• Youth- Health History & HIPAA Form
• Child- Health History
• Your HIPPA Rights
• Patient Information
• Financial Policy Acknowledgement
• Record Release Form
• Mount Auburn Dental Wellness Plan