Sparkle Dental Care

New Patient Forms

To assist us in providing you with the most efficient service, kindly take the time and fill in our medical history form so that we may better understand your overall health.

We have made our new patient medical history form available online in hope that it may help you gather all the relevant details at a time that suits you, and easily submit it in to us. Alternatively, please feel free to print the forms below and fill them out at a time that is convenient to you, and then bring them with you at the time of your appointment. 

New Patient Form - Hampton

New Patient Form - Fairfield

Have Questions? Get in Touch