Patient Forms - Henley Dental

Patient Forms

We value the privacy & security of our patient’s data. Information entered into these forms gets sent through an encrypted, secure system that only our team can unlock!

Patient Information Form

Please fill out the easy-to-use, private, and secure intake form. It will take a few minutes to complete, but our dental team reviews this in detail to provide comprehensive care.

Click Here For The Patient Information Form.

Consent To Transfer Of Records Form

With your permission we will contact your previous dentist to obtain your most recent dental history forms.

Click Here For The Transfer Of Records Form.

Questions To Ask Your Insurance Provider

Due to current privacy laws, many insurance companies will not provide us with any information regarding your plan. To assist you best, we encourage you to take the time to contact your insurance provider and request a breakdown.

Once we have this information, we will have a better understanding of your coverage and will be happy to clarify any questions you may have. Please note the treatment options presented to you from our team are based upon our professional judgment and not based on your coverage by a dental benefit plan.

Click Here For Questions To Ask Form.

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