Patient Forms
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Patient Forms

The below Patient Forms may be printed and completed prior to your child's appointment:

Patient Registration Form     Patient Medical History Form    General Consent Form

 Registro de Pacientes     Historial Medico del Paciente    Consentimiento Para El Tratamiento

To request an appointment, please call (405) 271-4750. Children must be accompanied by a parent or legal guardian.

Pediatric Dentistry Specialty Clinic
1200 Children's Avenue #8F
Oklahoma City, OK 73104

Hours of Operation:
Monday - Friday 
8:00 a.m. - 4:00 p.m.