Dental Patient Registration

Whittaker Dental is a premier dental office with four locations throughout Northeast Ohio. Each locations asks that you print out the forms below, fill them out, and bring them in to your initial visit. This will save you time and allow for your appointment to be on time.

Printable Documents

New Patients: Please review print/fill out all the documents below and bring in to your initial appointment. Existing patients: Medical history must be updated annually along with any insurance changes. Please print/fill out any relevant forms and bring in to your next appointment.

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