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.