COVID-19 Patient Disclosures
Please complete this form within 24 hours of coming in for your appointment.
The form needs to be completed for each patient being seen as well as anyone needing to accompany the patient into the clinic.
New Patient Forms (Adult- 13 yr old and older)
New Patient Forms (Children- 12 yr old & Under)
Medical History (Needs to be completed every 3 years)
Need to update us with your dental insurance or medical insurance? Take a photo of your insurance card and send to us via this electronic form.
Release of Records
Transfer your records to Orono Dental Care with this form. Once the form is completed we will request your records from your previous office on your behalf.
Current Patient Request for Records
Current patients can fill out this form to request their records be shared with another provider or individual.