Dental Practice New Patient Form
About this free form template

Streamline Your Dental Practice with Professional New Patient Forms

Every dental practice knows that first impressions matter—and a well-organized new patient intake process sets the tone for quality care. This Dental Practice New Patient Form template helps you collect complete patient information before the first appointment, saving chair time and ensuring your team has everything they need to provide safe, personalized treatment.

Built specifically for dental offices, this template captures essential patient demographics, comprehensive medical and dental histories, current medications, insurance information, emergency contacts, and required HIPAA and financial policy acknowledgments—all in one seamless online form.

Why Paperform is Perfect for Dental Practices

Paperform makes it easy to replace outdated clipboards and paper forms with a modern, HIPAA-compliant digital intake experience. Your patients can complete their forms from home on any device, and submissions flow directly into your practice management system or secure storage.

With conditional logic, you can show follow-up questions only when relevant—like asking about specific medications or dental concerns based on previous answers. Use calculations to verify insurance details or handle payment arrangements, and leverage Papersign (papersign.com) to collect secure electronic signatures on consent forms, treatment plans, and financial agreements—keeping everything linked to the original patient record for a clean audit trail.

Once a patient submits their form, Stepper (stepper.io) can automatically create their patient file in your practice management software, send a personalized welcome email with appointment details, notify your front desk team, and trigger any other onboarding steps your practice requires—no manual data entry needed.

Whether you're a solo practitioner or managing multiple locations, this template gives you a professional, branded intake experience that respects your patients' time while ensuring your practice has accurate, complete information from day one.

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avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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