New Patients
Useful Resources for Your First Dental Care Visit
At your first appointment, our caring and friendly office staff will welcome you and ensure that your visit at Valparaiso Family Dentistry is as comfortable and enjoyable as possible. If you have fear or anxiety about visiting the dentist, we will do our best to alleviate any concerns you may have. Our dentists and staff are great at explaining what needs to be done and how it relates to your oral health and overall health. Your confidence in our care is our most important priority. We have the best patients! To get the best care from us, please bring the following items:- Adult Health History English(490 KB)
- Child Health History English(97 KB)
- Child Health History Spanish(63 KB)
- New patient form (502 KB)
- New patient privacy form (99 KB)
- Surgery health history this form only applies to those having surgery (155 KB)
- Notice of Privacy
- Privacy Practice Notice
- COVID Consent Form Valparaiso
- Financial Policy (88 KB)
- Automated Communication Consent Form(86 KB)
- CSG Financial Policy Updated Spanish(100 KB)
- Insurance Information (25 KB)
- Credit Card on File Consent (99 KB)
- Accompanying Child to Dental Office for Treatment Consent Form (128 KB)
- Formulario de Autorización de la Tarjeta de Crédito (97 KB)
- Información del Seguro (43 KB)
- Formulario de consentimiento de comunicación automatizada (139 KB)