New Patient Forms

New Patients Welcome!

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We are conveniently located in Clintonville but also serve the Worthington, Upper Arlington, Grandview Heights, and the Ohio State University district.

Shiflett Family Dental > New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

New Patient Paperwork

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HIPAA Notice of Privacy Practices

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Patient Information

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Medical History

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Financial Policy

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Office Policies

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