At Windsor Pediatric Dentistry, we love to spend time with our patients so we can talk with them about the importance of oral health. However, our dentist understands that our patients’ parents can be very busy, so we keep our patient forms online to speed up the check-in process of new patients. You can have these forms filled and ready before your visit Dr. Jill Shonka. Call our office if you have any questions about our new patient forms.

Forms to Fill Out Prior to Appointment

Patient Forms

Do not print but please review prior to appointment

Notice of Privacy Practices

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

Referral Form