Forms at Harmony Family Dentistry

Forms for Dental Patients

Serving Clark County and Surrounding Areas

Please take a moment to browse through the forms listed below. Simply click on the form you need, fill it out, and bring it with you to our office. If you have any questions or encounter any issues while filling out the forms, feel free to contact our friendly staff, and we will be happy to assist you.

Dental History: Download Form


Financial Policy: Download Form


Medical History: Download Form


New Patient Registration: Download Form


Release of Records: Download Form


HIPPA Form: Download Form

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A woman is sitting in a dental chair getting her teeth examined by a dentist.

Come See the Many Innovations in Our Office

Once you experience what it is like to be a patient in an office with these many technological innovations, you will never want to go back. To receive the best dental care in Vancouver, Washington, please call 360-882-7866 today.