New Patient Forms


Thank you for choosing Summit Dental!


As a new patient, we have some paperwork would will need you to fill out. We have physical copies in the office before your first appointment, but if you'd like fill out the online forms, it will give us the chance to get you in the system sooner.

Please fill out ALL of the forms listed.


New Patient Registration

Patient Medical History

Financial Policy Acknowledgement

HIPPA Policies & Procedures

When you are done:

When you have finished filling out the registration forms, please head over to our contact page to schedule your appointment!

Schedule an Appointment