Please download, complete and print the five forms below prior to your first appointment. If you don't have a printer you can email the completed forms to frontdesksplendental@gmail.com and we will print them at your first appointment for your signature. Alternatively, please arrive at least 15 minutes prior to your appointment and we will provide printed forms for you to complete in the waiting room.

Depending on your web browser, opening the forms in a new window may not enable the fillable features. If you download them first, they will be fillable forms.

© 2019 by Splendental, Inc.

Dr. Douglas Nartker, DMD

Splendental is a proud supporter of
The Human Rights Campaign