Patient Forms

Getting Started Is Easy

Welcome to Johnson Pediatric Dentistry! We’re excited to meet you and your child. To help us provide the best possible care from day one, please take a moment to complete our patient information form before your first appointment.

Why We Ask for This Information

Getting to know your child helps us:

Understand their unique health needs and medical history
Prepare for any special considerations during treatment
Ensure we have emergency contact information
Process insurance efficiently and accurately
Personalize your child’s care experience

Questions Along the Way?

Our friendly team is here to help! If you have any questions while completing your forms or need assistance, don’t hesitate to reach out. You can call us at (435) 628-0511 or ask when you arrive for your appointment.

We look forward to welcoming your family to our dental home!

Ready to Get Started?

Complete our simple patient forms online and you’ll be all set for your child’s first appointment. It only takes a few minutes!