Tooth by the Lake
Creating Beautiful, Healthy Smiles
Call: (952) 475-1101

New Patient Forms

Below are the forms we would like completed for your first visit with us.  We appreciate if you print them off from here and have them filled out and ready when you come to your first visit.  But don't worry if you forget- we have these forms available in the office as well.  Please come a little earlier for your appointment if you plan to fill them out in our office.

For adults 18 years and older we would like the following forms completed-

Patient Information

Patient Health History

Adult Dental History


For children under 18 years of age we would like the following forms completed-

 Patient Information

 Child Dental/Medical History


Thank you and we look forward to meeting you at your first visit!