PATIENT FORMS
If you are a new patient of Dr. Renee Trujillo, the links below contain new patient forms that will need to be completed and returned to our office one week prior to your appointment. This allows us time to be better prepared for your appointment.
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
FORM
![patient-form-icon patient-form-icon](https://trudentalnm.com/wp-content/uploads/2023/12/patient-form-icon.png)
Medical
History FORM
History FORM
![medical-history-form-icon medical-history-form-icon](https://trudentalnm.com/wp-content/uploads/2024/01/medical-history-form-icon.png)
Dental
Questionnaire
Questionnaire
![questionnaire-icon questionnaire-icon](https://trudentalnm.com/wp-content/uploads/2024/01/questionnaire-icon.png)
Release
of Records
of Records
![release-record-icon release-record-icon](https://trudentalnm.com/wp-content/uploads/2024/01/release-record-icon.png)
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.