Patient Forms

For your convenience, we've included all of the necessary forms that must be read and/or filled out before your next appointment at Dental Associates of Newton Falls. You may access and utilize these forms by clicking on the links below and then printing them on standard 8.5” x 11” paper. You can then fill them out in your spare time and save a considerable amount of wait time when you arrive for your appointment.

If you have any questions regarding these forms, please don’t hesitate to call us.

Patient Information Form - Over 18
Patient Information Form - Under 18
Under 18 Authorization Consent Form

American Dental Association (ADA) Claim Form
Privacy Policy - Dental Associates of Newton Falls
Financial Policy - Dental Associates of Newton Falls
Acknowledgement of Reciept