Be Ready For The Appointment

Health and Physical Form

Download and have your Doctor fill out the Health and Physical Form. Please have the form back to us a week prior to your hospital visit. You can send us the form at foothillsdentalcare@gmail.com

Panoramic photo of hospital dentistry
Panoramic photo of a Dental History form
Foothills Dental image for Records Release form

Record Release Forms

Download and fill out the Record Release Forms. Please send the completed form to foothillsdentalcare@gmail.com

Record Release Form - English

Formulario de autorizacion del paciente para la divulgacion de registros dentales.