Dr Barry Craig Ries, D.D.S., P.L.
Dental Prosthodontics-Cosmetic & Esthetic Dental Restorations

Health History Forms

The primary purpose of a patient’s health history is to attempt to find out as much about each patient as possible, so that the dental practice can treat the patient safely and knowledgeably.  Members of the dental team need to know any and all information about a patient’s current health status, as well as any information about past medical and dental treatment; since all these factors will affect treatment.

Please print and complete the Dental Health History Form below:
By completing this form prior to your visit, you will be able to save valuable time and begin your
appointment on schedule.

New Patient (Adult) Form

New Patient (Child) Form

Website Builder