New Patient

We pride ourselves on giving efficient and professional service to all our patients.  In order to better expedite your experience with us, please download and fill out the following forms. 

Having these completed to the best of your knowledge when you first arrive at the office will get you and your family in and out with a smile in record time!

   - NEW PATIENT / HEALTH HISTORY
   - CONSENT FOR USE AND DISCLOSURE OF HEALTH INFORMATION
   - RESPONSIBLE PARTY INFORMATION

   - INSURANCE AND PAYMENT POLICIES

Thank you for your time!

 
 
 
Contact Midtown Dental
303 - 377 - 2345
1800 Vine Street / Denver, CO 80206 - 1122



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