New Patient Forms to Print and Bring to your First Appointment

To save you time when you arrive for your first appointment at Lakefront Family Dentistry, we are happy to make the new patient forms available to you below. Please print and fill them out before your appointment and bring them with you so you can meet with Dr. Hauser at your scheduled time. Thank you!

Hauser1 Patient Registration Form (PDF)

Medical History Exam Form (PDF) HIPPA Consent Disclosure Form (PDF) HIPPA Consent Disclosure Form II (PDF) HIPPA Acknowledgment Form (PDF) HIPPA Privacy Notice Form (PDF) 48-HOUR CANCELLATION POLICY Form (PDF) Patient Photograph/Video Authorization Form (PDF)

You will need to download Adobe Reader to view/print the forms above