Patient Forms

Five Point Family Dentistry | 10408 Ridgeview Road | Olathe, KS 66061 | Phone: 913-390-3555
Arrive prepared to reduce your time in the waiting area. Our forms can be downloaded and filled out electronically. Print and bring them with you or simply email them to us and we will have them waiting for you to sign when you arrive.

Health History Form – [DOWNLOAD]

Notice of Privacy Practices – [DOWNLOAD]

Cancellation Policy – [DOWNLOAD]

Insurance Disclaimer – [DOWNLOAD]
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