Forms

Easy Forms for Busy Parents

New Patient Forms

If you would like to complete the required forms before your child’s appointment, you can download them below. Please fill out the forms and bring them with you to the appointment. Additionally, if your child is under the care of a specialist for any medical, behavioral, or emotional condition, please complete the following form:
Patient Registration Form
Special Care Coordination
Doctor and child patient. The physician is holding clipboard and writing in medical record form near a boy. The concept of ideal health in medicine
Woman doctor doing handshake with male patient in hospital office room. Healthcare and medical service occupation.
Partnering for Smiles

Referring Doctors

If you are a referring doctor, please complete the following form and send it to callcenter@apdentalheroes.com. Please make sure to include the patient’s name, DOB, and contact information.

Referral Form

After Care and Emergency Support

Surgeries and Post op guidelines

After surgery, your child’s recovery is just as important as the procedure itself. Our post-operative care focuses on pain management, promoting healing, and preventing complications. The form below provides clear instructions and expectations for post op care. We know that emergencies can happen, and it’s essential to have support when you need it most. If your child experiences any issues or complications after a dental procedure, please see the emergency contact form below for instructions on how to reach out to us.

Emergency Contact Form
In Office Post Op
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