Spark Dental
πŸ“‹ 03 Β· Patient forms

Save 15 minutes at check-in.

Fill out paperwork before you arrive. Or download, print, and fill at home β€” your call.

πŸ’‘ Easiest path: we'll text you a secure link the day before your appointment. Tap, fill, sign β€” done in 10 minutes from your couch.

Forms you might need

Click any form to fill it online (PDF download also available).

πŸ“„

New Patient Intake (Adult)

Medical history, dental history, contact info

5 pages Β· ~10 min

πŸ“„

New Patient Intake (Pediatric)

For patients under 18 β€” needs parent/guardian signature

5 pages Β· ~10 min

πŸ“„

HIPAA Privacy Notice

How we protect your health information

2 pages Β· ~3 min

πŸ“„

Insurance Assignment of Benefits

Authorizes us to bill your insurance directly

1 page Β· ~2 min

πŸ“„

Financial Policy Agreement

Payment terms, cancellation policy, financing options

2 pages Β· ~3 min

πŸ“„

Medication + Allergy Update

For existing patients β€” current medications and any new allergies

1 page Β· ~2 min

Questions about a form?

Call us before your appointment β€” we'd rather take 2 minutes on the phone than have you fill something wrong.

πŸ“ž (817) 962-7072