Call or text us at (785)266-4412 ~ Email us at info@thetoothfairytopeka.com
Online Forms
New Patient Forms
If this will be the first time this patient is seen in our office, follow the link to the New Patient Forms section.
Current Patient Forms
If the patient has been seen in our office, but needs to update forms, follow the link to the Current Patient Forms section.
Other Forms
Need records sent to another office? Or to give permission for your older child to come to the appointment without a parent/guardian? Follow this link to the Other Forms section.
Downloadable Forms
The links to our online forms are above, but if you would rather print and fill out forms, these can be downloaded and filled out on paper. We do not recommend this option unless you are unable to use the online forms.
New Patient Forms
Link for New Patient Paperwork
Current Patient Forms
Link to Update Paperwork for Current Patients
Downloadable Forms
For secure online fillable forms, see the links above.
If you prefer to print forms, you can download and print the following forms.
If you are filling out forms for a new patient, please fill out the new patient registration, medical history, HIPAA, financial agreement, and sleep questionnaire.
If you are filling out forms for an existing patient, please fill out the patient update and sleep questionnaire.
The Tooth Fairy
1230 SW Harvey Street
Copyright © 2024 The Tooth Fairy - All Rights Reserved.
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