Patient Information [Draft]

Below you will find patient registration forms and medical history form that are available in pdf format. Once opened, you will be able to fill the form out within the program, Adobe Acrobat Reader. After the form has been filled out, either email it or print it out and bring your completed registration form to your next scheduled appointment.

Completion of registration paperwork will provide current address and insurance information for your medical record. Completing these forms prior to your scheduled appointment will decrease your wait time and expedite your visit at Vora Dental Care.

pdficon_small Patient Registration Form*

pdficon_small Medical History Form for Dental patients

pdficon_small Release My Records Form*

Medical History Form for Sleep patients**

Adobe Acrobat Reader is required to access the forms. If you do not have this free software, please download from the following link. Get Adobe Reader »

*indicates that this is a fill-able pdf form in which you have the ability to type directly into the form fields, and then print to your printer.

**indicates this link will take you to the patient portal.