All forms are in PDF format for easy printing. You may need to download a PDF reader, such as Adobe Acrobat Reader (free).

Adult Registration Forms

Child Registration Forms (for patients 14 years old and younger)

Records Transfer Form

Standard Tooth Merry Dental Savings Plan

Tooth Merry Dental Savings Plan for Children (13 years old and younger)

Tooth Merry Dental Savings Plan for Periodontal Maintenance

Need More Information?

For more about the savings plans, please see the Insurance page.