Essential Dentistry for Children, P.C. Patient Forms

In order to provide you and your child with the best possible care, we ask that you fill out the new patient forms (found below) in Weymouth, MA, before your first appointment. This gives us the opportunity to review all of your information and insurance, which ultimately means we can focus on your child during his or her visit - not paperwork.

For your convenience, you can view, download, and print our entire new patient information packet prior to your first visit by clicking on each of the items below.

New Patient Forms

New Patient Registration & Health History

Submit Electronically
(You will be directed to our secure form at https://dentistryforchildren.medforward.com)

First Visit Form

Download Form

Ortho ONLY Health History

Submit Electronically
(You will be directed to our secure form at https://dentistryforchildren.medforward.com)

Child Behavior

Download Form

Office Brochure

Download Form

New Patient Letter

Download Form

Dental Insurance

Download Form

HIPAA Form

Download Form

These forms are provided for the convenience of our patients and their parents. They include common procedures, administrative forms, and post-operative instructions.

General Patient Forms

Records Release Request

Submit Electronically

Dental Emergencies

Download Form

Post-Operative Instructions for Extractions

Download Form

Care Following Dental Trauma

Download Form

Care of Your Removable Appliance

Download Form

Care Instructions Following Sealant Application

Download Form

Care Instructions Following Placement of a Space Maintainer

Download Form

Care of Child Following Local Anesthesia

Download Form

Orthodontic Information Chart

Download Form

Preventing Tooth Decay - Part 1

Download Form

Preventing Tooth Decay - Part 2

Download Form

Food for Orthodontic Thought No-No List

Download Form

Rapid Palatal Expander Instructions

Download Form

Headgear Instructions

Download Form

Get Adobe Acrobat Reader

Please note that these forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, you can visit this page to download it.

We proudly serve families in Weymouth, Massachusetts,
as well as those throughout the South Shore.