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Forms

Resources and Forms for Patients


Resources & Forms

This page contains official Edgewater Pediatric Dentistry forms and resources that you can download and use accordingly.
Bookmarks: | Basic Forms | Treatment Information | Treatment Instructions | Other Forms |

Basic PDF Forms

This section provides the basic Edgewater Pediatric Dentistry Forms

Edgewater Pediatric Dentistry New Patient Forms - New patient registration form to be filled prior to appoinment to be efficient and save time.

Parental Pre-Authorization Form - This is the parental pre-authorization for dental care for children in the event that the guardian will not be present at the appoinment.

Informed Consent Form - Consent form for treatment under oral sedation, IV sedation, or general anesthesia

Record Release Form - This gives your previous dentist permission to release your dental records to our office.

Treatment Options

Options for treament at our office.

Treatment Options - This describes each treatment option that we offer at our office.

Treatment Instructions

This section contains documents pertaining to treatment.

Pre-Operative Instructions for Sedation - This details what to expect before, during, and after your oral sedation appointment.

Post Treatment Instructions - This details what to expect after oral sedation and how to care for your child.

Other Forms

This section contains motivational charts you can use at home with your child.

Brush Chart - A resource that you can use with your child and his/her brushing.

No Thumb Sucking - A resource that you can use with your child and his/her thumb sucking.