Online Forms

At Horvath Family Dentistry, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

• You will need AdobeReader® to download and complete the forms. See bottom of page to download AdobeReader® for free.
• Download the required form(s). Print out the form(s) and complete the required information.
• Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your dental health. If you have any questions, concerns or goals regarding dental health that we can help you with, please let us know!

Download & Print Form

HIPPA Form

Download & Print Form

Financial Policy Form

Download & Print Form

Cancellation Policy

Download & Print Form

Authorization for Transfer of Dental Records

Download & Print Form

COVID-19 Patient Treatment Consent

Download & Print Form

Patient Screening Form

Download & Print Form

Download the Free AdobeReader®