Hutchinson Dental

Creating Beautiful Smiles

Call Us Today 320-587-3993
Call Us Today 320-587-3993
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Home > Patient Center > Forms & Downloads

Forms & Downloads

Please download, print sign and bring with you on your next visit.

Hutchinson Dental New Patient Registration Form New Patient
Registration
Welcome new patients! Please download, print and fill out our New Patient Information form. This will save time in the office when you come for your first visit!

Hutchinson Dental Medical History Form

Medical
History

We ask that you complete our Medical History Form about your present dental health and medical history. This information is important so we may evaluate and effectively treat your dental concerns.

Hutchinson Dental HIPPA Form

HIPPA
Form

Our HIPPA form outlines how health information about you may be used and disclosed, as well as how you can get access to this information.

Hutchinson Dental Information Release Authorization Form

Release
Authorization

To request a copy of your dental records, you must print and fill out the Release Authorization form.

 

we're different

Meet the Staff

we're different
the results

Smile Gallery

the results
"Our goal is to provide superior dental care, education and prevention in a caring environment"
Contact Hutchinson Dental 320-587-3993

Contact Us

Call us at 320-587-3993

Contact Hutchinson Dental 320-587-3993
Forms for New Patient Registration | Medical History | HIPPA Form | Release Authorization

Patient Forms

Welcoming new patients.

Forms for New Patient Registration | Medical History | HIPPA Form | Release Authorization

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