Dental Patient Registration Form Mentor OH
Patient Information & Health History Form
If you are unable to fill out this form prior to your first appointment, please plan to arrive at least 15 minutes early to fill it out in-office, and bring a list of all medications you are taking.
If you have any questions, please call our office: Mentor Office Phone Number (440) 951-1318.
These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.