Patient Forms
Please note that unauthorized use of the forms provided by apdg or any content on the apdg website may result in monetary damages and other civil and criminal penalties including without limitation, for copyright infringement.
Printable Forms
For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:
- New Patient Packet - English
- New Patient Packet - Creole
- New Patient Packet - Spanish
- Recall Patient Packet - English
- Recall Patient Packet - Creole
- Recall Patient Packet - Spanish
- General Dental Treatment Consent Form & Consent for Media Photographs - English
- General Dental Treatment Consent Form & Consent for Media Photographs - Creole
- General Dental Treatment Consent Form & Consent for Media Photographs - Spanish
- Pre-Sedation Instructions at Sedation Center
- Medical Clearance - Sedation Center
- Medical Clearance For Dental Treatment Form
- Release of Records
- Treatment Decision Assignment
- HIPAA Notice of Privacy Practices
- List of Insurances Accepted