Skip to Main Content

Sample Forms

We’re here to make record keeping easier and more efficient so you can better protect your practice. View, download and customize the right resources for your state. Find sample forms and letters to support documentation, employment, general liability and patient care.

Number of search results: 3

Consent to Disclose Personal Health Information (PHI)

Form and recommendations for obtaining consent to disclose patient health information to a third party.

Dental History

Form for capturing a patient’s at-home oral hygiene, dental concerns and treatment history

Download Tip Close

Some browsers will provide an option to save the file to your computer/device, others will automatically download the file to your downloads/files folder.

Explore More Resources

Access a dentistry-focused risk management articles, guides, sample letters, informed consent forms and more.