Patient Information Forms

New patients may conveniently fill out the following two forms and submit them electronically, using Adobe Acrobat Reader (which can be downloaded here), prior to visiting Time to Care. Please complete each form to the best of your ability. Before submitting your form, please be sure to carefully review our office policies page. Any required signatures will be completed upon arrival.

As an alternative, forms can be downloaded, filled out and either emailed or printed and brought with you to your next Time to Care appointment. Adobe Acrobat is required if filling in the form and submitting it digitally.

Patient Info Form

Health Questionnaire

Please print the following Privacy Consent Form and Payment and Insurance Form and read thoroughly prior to signing. Signed consent forms must be presented upon arrival to your first Time to Care Dental Group appointment.

Payment and Insurance Policy
Privacy Policy Form

Financing is available for those who require it. To learn more, please follow this link.