Gainesville FL dentist office, Millhopper Family Dentistry
New Patient Forms

New patient forms are in PDF format. Click on the link to download the forms. Then print the forms, fill them out, and bring them with you on your first visit.

If you do not have Acrobat Reader, get a free copy by clicking on the link below.

Welcome Message

Adobe PDFAdobe ReaderPatient Registration and Health History


Adobe PDFStandard Financial Options and Standard Fees Agreement


Adobe PDFAttending Dentist's Statement


Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

Adobe PDFAcknowledgement of Receipt of Notice of Privacy Practices