New Patient Forms

The following forms are part of the patient registration process and must be completed before we can see you as a patient. They can be downloaded, printed, and completed, then scanned and returned to our office as email attachments so our staff can have your information securely entered into our patient database before you arrive for your first visit.  We ask that you bring both printed forms with your signature so we may have an original on file.

Patient information form

You can fill out the necessary patient information before your visit.  Simply download the patient information form, print it, and bring it with you when you come for your first visit to Desoto Dental, or send to us in an email at Please use new patient information in the subject line of your email.

Patient Information

Notice of Privacy Practices

Each patient (or the patient's guardian) must be presented with a copy of the practices Notice of Privacy policies before they can be seen as a patient. After reading the documents, each patient (or the patient's guardian) must acknowledge having received this notice.Please click the link, print, read, and bring the signed acknowledgement with you when you come for your first appointment.

Notice of Privacy Practices