New Patient Forms

New Patient Forms and Online Forms

Mark I. Lausier DMD offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader┬« installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Bring them with you to your appointment.

New Dental Patient Form - Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know.

Download Medical History Form

Download Patient Registration Form

Download the Free AdobeReader®