Patient Registration in Florissant

New Pediatric Patient Online Forms

From the first day you join our office, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, etc.

For your convenience we’ve included these forms below. Use the links below to access the Patient Portal and Patient Privacy form. For assistance, please call us in Florissant at Florissant Pediatric Dental Office Phone Number 314-830-9663.

Photo: Young smiling boy

Technical Note

The Privacy Policy form is in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access this form.