Patient Forms
Please print and fill out these forms so we can expedite your first visit:
- ADA COVID SCREENING FORM https://securehealthform.net/webform/drtoddkbaumddsmi&formid=NjMzNTM=
- MEDICAL HISTORY https://securehealthform.net/medicalwebform/drtoddkbaumddsmi
- HIPPA FORM https://securehealthform.net/webform/drtoddkbaumddsmi&formid=NjkyNDk=
- AUTHORIZATION TO RELEASE DENTAL RECORDS https://securehealthform.net/webform/drtoddkbaumddsmi&formid=NjkzMjI=
- FINANCIAL POLICY https://securehealthform.net/webform/drtoddkbaumddsmi&formid=NjMzNTc=
- CONSENTMENT TO TREAT MINOR https://securehealthform.net/webform/drtoddkbaumddsmi&formid=NjkzMjU=
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.