Patient Forms Fusion Dental & Braces

Online Forms

New Patient Forms

Printable Forms

• Medical History (English Version)
• Medical History (Spanish Version)
• Notice of Privacy Practices (English Version)
• Notice of Privacy Practices (Spanish Version)

If the legal guardian is not coming with the patient, who is under the age of 18, to their appointment, we will need the following form filled out:

• Non-Parental Consent Form (English Version)
• Non-Parental Consent Form (Spanish Version)