Patient Forms

The following forms are for new patients to complete prior to their first visit. Please bring the completed form with you to your first appointment and present them to the receptionist.

We also ask that you bring a current list of medications and your
Dental insurance card, if applicable.

We look forward to meeting you!

New Patient Registration Form and Medical History- Adult

New Patient Dental History Form- Adult

New Patient Registration Form - Child under age 14

Patient Payment Responsibility- All Patients

Patient Dental Benefits Explanation- Patients with Dental Insurance

Patient Privacy Consent Form- All Patients

Testimonials

I love everyone at Dr. Zym’s office. They make going to the dentist a pleasant experience.
Laura is the best Hygenist ever! Dr. Zym is so knowledgeable and has a calming professional demeanor that puts me at ease. Karen and Tammy are the best also. You will not be sorry if you make the choice to come to Dr. Zym for all your dental health needs! 5 star for sure!

Very thorough teeth cleaning and very great staff ♥️