PATIENT FORMS

Thank you for scheduling an appointment with us. To secure your appointment, please fill out and submit the forms below. Note, we require your completed forms no later than one week prior to your appointment. We look forward to seeing you!
For your convenience, the forms you will fill out from this page are Encrypted, (Encrypted forms and email are used to protect data from being stolen, changed, or compromised.)

Please call our office at (575) 526-0888 should you have any questions.

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

REGISTRATION
FORM

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Medical
History FORM

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Dental
Questionnaire

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Release
of Records

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Privacy Practices

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

TRU Dental PC is an independent, woman owned and operated office.