New Patient Information Forms

We have forms that need to be completed before seeing Dr. Bankhead. See below for forms which you can print, fill out at your convenience, and either fax to us at (801) 221-9559 or bring with you at the time of your first appointment.

Click here to view and print the Patient Registration Form

Click here to view and print the Health History Form.

*Adobe Acrobat Reader is nessary to view and print the above forms. If you don't have it click here to download a free copy.

See, We value your mental health as much as your dental health!