New Patient Forms

Overview

Your first visit to Midway Family & Cosmetic Dentistry establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies, and more. There’s also background information about our committed staff and our first-visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

Our mission is to help your family achieve a beautiful, healthy smile and maintain it for a lifetime.

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

• Medical History
• Dental History
• New Patient Information Form
• Financial Policy
• Notice of Privacy Practices

Patient Online Applications

Please fill out these online applications to expedite your first visit:

• Care Credit Application Form