Forms · Brochure

Save time at your initial office visit by printing and completing your patient forms at your convenience prior to your appointment.

These forms and brochure in PDF format are used by or are relevant to Van Wert Family Dentistry. Select the document you wish to view/print.

If you do not have a PDF reader installed, it can be downloaded and installed at the Adobe web site using the link provided.

Please note the "Optional offers" and "Install the Acrobat Reader Chrome Extension" sections on the download page. You may want to uncheck any or all of these options prior to downloading.

  • Brochure

  • HIPAA Form

  • Adult Health History

  • Child Health History