First Dental Visit Warsaw, IN

New Patient Forms

Please click on the forms below to fill them out online.  You may then click Submit and email them directly to Dental Solutions.  If you do not have email, please print the appropriate forms, complete them, and bring them with you to your dental appointment. We look forward to seeing you soon!

Adults should complete the following forms: Patient Information, Medical and Dental History, and Notice of Privacy Practices. 

Children 17 and under should complete the following forms: Patient Information, Medical History and Dental History, Notice of Privacy Practices and Minor Consent Form.  

• Patient Information
• Medical and Dental History
• Signature Page for Notice of Privacy Practices
  1. Click here to read the Notice of Privacy Practices
• Minor Consent Form