Intake Forms

Patient Intake Forms

 

Prior to your first office visit, we kindly ask that you complete a Patient History Form. Simply click on the link below to download the document. Please complete all sections of this form to the best of your knowledge and submit to our friendly team when you arrive for your appointment. Completing this form prior to your appointment will expedite your time in the office.

Don't have access to a computer/printer? Don't worry! Simply arrive 15 minutes early for your appointment and ask for a Health History Form.

*Existing Patients: Please inform our staff if you have experienced any changes in your health or to your medication regimen since your last visit so that we may update your current health history.

pdfAdult Patient History

pdfChild/Young Adult Patient History

 
docxDISCLAIMER/HIPPA document

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Intake Forms

Save time by downloading our intake forms.
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Payment Options

Our payment options are flexible and convenient.
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Photo Gallery

A gallery of all things Cranberry Dental.
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 blk-phone 724-776-2280

20820 Route 19 Cranberry Twp, PA 16066

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