New Patient Forms

On behalf of all our staff, we welcome you to Day Hill Dental. We are pleased that you have selected us to care for your dental needs. Preventative dentistry is our goal for every patient. We want you to know that we are committed to providing you with the highest quality of oral health care in the most gentle, efficient and caring manner possible.

Please print out your forms here, complete and bring them with you to your first visit. 

If you have dental insurance, please bring the card with you also.

Please print and complete the Patient Registration prior to your first visit.

Please download and fill-out our Financial Policy

Please download and fill-out our  Notice of Privacy Practices

Please download and fill-out our Records Release/Request