Patient Forms

In order to make your first visit a breeze, please take a moment to download and complete your New Patient Paperwork prior to coming into the office.

Feel free to email us a completed copy of your paperwork to add to your file prior to coming in.  Please email downtown@howell.dental for appointments at our Downtown Suffolk location or harbourview@howell.dental for appointments scheduled to take place at our Harbour View location.

Click to download a PDF version of our New Patient Paperwork.

New Patient Paperwork (Adult)

New Patient Paperwork (Child-- Under 13)

Financial Policy

Notice of Privacy Practices

Thank you for helping us expedite the new patient paperwork process.

Please note: All patients are asked to sign the HIPAA forms in the office.