New and Existing Patient Forms

New and Existing Patient Forms

New Patients of Glen Lake Family Dentistry, please download and print the two forms below, fill them out, and bring with you to your first appointment to save you some time.

Medical History and Medications Forms

Authorization to Release Dental Records Form

Existing Patients of Glen Lake Family Dentistry

(medical form only)

Glen Lake Family dental complies with The Affordable Care Act, our acknowledgement on the form below:

Glen Lake Family Dentistry Affordable Care Act