Department of Dentistry | Forms and Paperwork

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Patient information and health history form

At your first appointment to our clinic, you will be asked to complete a Patient Information and Health History Form. Completing this form prior to your appointment will help speed up your check-in process.

Medical record release form

Before we can release your child's health information, you must submit written permission. Complete the form below to submit your request.

General information

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944