Patient Forms & Handouts

Welcome new patients! Please download, print and fill out our New Patient Information form. This will save time in the office when you come for your first visit!


This form helps us have a clear picture of your overall health so we can properly diagnose and treat you. Just print, fill in and hand to one of our staff when you arrive.


This form is to be sent to your previous provider to obtain records and digital images prior to your visit. We encourage you to send this ahead of time to have this valuable information on file by the day of your visit. Print, sign and fax or send to your previous provider.


It is important for you to know your patient rights and what to do if you feel they have been violated. Print this for your records.


Information regarding financial, insurance and office policies. We recommend you read this before your visit and let us know if you have any questions.


Request a copy of your dental records or x-rays from Hazelton Family Dentistry. Just print and fill in the form. Upon receipt we will be happy to forward on your records to the clinic of your choice.


Information for patients that have just gotten new dentures. Print and save this reference material to help you and your dentures adjust to each other.


You’ll need this helpful information if you’ve recently been in to have oral surgery done. As always, call us with questions if things are not clear or problems arise.


You’ll need this helpful information if you’ve recently been in to have a root canal done. As always, call us with questions if things are not clear or problems arise.