Piedmont Pediatric Dentistry Office Forms
Feel free to download, print, and fill out the appropriate paperwork prior to your child’s visit. You can then bring the completed papers to your first visit, which will reduce your wait time.
- HIPAA Privacy Information
- Risk Assessment for children age 0-5
- Risk Assessment for children ages 6 and older
You will also need to fill out registration paperwork. Please visit our Patient Registration page to complete and submit this paperwork securely from the comfort of your home.
Doctors can use our Referral form to recommend patients to our office.