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