Office Forms
Dr. Theofilos

Office Forms:
In order to offer our patients the most convenient experience possible, we're including our forms in a printable version below.

Simply click on the link, print, fill out and bring the forms with you during your first visit. Please contact us if you have any questions.

Welcome & Patient Information Form
Adult Health History
Child Health History
Consent to Proceed Form
 
Forms Available in Spanish
Adult Health History (Spanish)
Child Health History (Spanish)
 

 

 

 

 


West 56th Dental | Ph. (801) 964-0444 | 3444 South 5600 West, West Valley City, Utah 84120 | Site Map | Created by Dental Branding