Download New Patient Forms

New Patient? Save time on your first visit!

At Dillard Dental, our goal is to give you the personal attention that you deserve, while also making your time with us as convenient as possible. Before your first visit, please take a few minutes to print and fill out the forms below. This will save you time if you arrive with these forms completed. If you do not wish to complete the forms prior to your visit, that is fine too!

Dillard Dental Patient Information Form

Dillard Dental Health History Form

Dillard Dental FInancial Policies Form