Patient Forms

You can download the desired form below by clicking on the link. The forms are interactive, so you can complete and save them on your computer and then email the completed copy as an attachment to cathi@drweishaar.com

  Patient Registrationtype: pdf | size: 56 kB
(Registration information required for new patients)
  Dental History Release Formtype: pdf | size: 21 kB
  Receipt of Notice of Privacy Practices Policytype: pdf | size: 126 kB
  Medical Historytype: doc | size: 116 kB
(Used to provide or update your medical history)
  Notice of Privacy Practicestype: doc | size: 222 kB