At Windsor Pediatric Dentistry, we love spending time with our patients to talk with them about the importance of oral health. However, Dr. Jill Shonka, Dr. Macaira Leahy, Dr. Marcy Carpenter and our team understand that our patients’ parents can be very busy. We have provided our form online to speed up the check-in process when you and your child arrive at our office. If you have any questions about these patient forms or to schedule an appointment with our pediatric dentists in Windsor, Colorado, please give us a call at 970-674-3247.
New Patient Forms
Do not print but please review prior to appointment
Print and send with child if legal guardian cannot attend appointment
Please note that a parent/legal guardian must first sign a treatment plan before treatment can be completed from the treatment plan.
Non-Parent Consent Form