Patient Forms

Convenient access provided to our patient forms. Please complete prior to your first visit with Rogue Dental.

We like to make things easy for our patients, which is why we have provided two options for completing your new patient forms.

Online Forms

To complete the forms online, please click the link below and follow the simple instructions to log in and access the Patient Registration and Medical History forms. Once completed, they will be uploaded directly to your digital chart with our office.

• New Patient Sign-in Form [WEB]

Downloadable Forms

If pen and paper is more to your liking, we have provided downloadable PDFs of our patient forms. Please print out the New Patient Form and the Financial Policy page and return the completed forms to us prior to your appointment.

• New Patient Form [PDF]
• Financial Policy [PDF]