Patient Forms

The patient forms available below are in pdf format. If you cannot open the forms, please download the free Acrobat Reader here.

• Payment Agreement Form and Patient Health History

  Please open the forms below and complete them on your computer at home. Once you have filled in the forms, print and bring them to our Fort Collins dental office at the time of your visit.

  Patient Registration Form
  Patient Health Form

• Privacy Practices Signature Page and Notice of Privacy Practices

  Please review the Notice of Privacy Practices prior to your visit to Boardwalk Dental. It is not necessary to print the Notice of Privacy Practices. However, you will need to print and sign the Signature Page, indicating that you have reviewed the Privacy Practices.

  Privacy Practices Signature Form
  Notice of Privacy Practices

• Financial Policy

  Please open the forms below and complete them on your computer at home. Once you have filled in the forms, print and bring them to our Fort Collins dental office at the time of your visit.

  Financial Policy Form