New Patient Forms
Save time and fill out the "NEW PATIENT FORM" before your child's visit- You can print out the form and bring it with you to the appointment. Or you can email it back to us- please read below:
If your child has been seen by another office, you will need to contact your previous office directly- they need your permission to send records here. Please use the "RECORDS RELEASE" form below so they know where to send the records.
HOW TO EMAIL FORM:
- Before you enter any information into form, please download and save the blank PDF. The form will not hold any information unless you save it blank first!
- Once the form is saved onto your device, you can enter your child's information. Be sure to save again once you have finished!
Email completed form back to us as an attachment: FRONTDESK@SHORELINECHILDRENSDENTAL.COM