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

Boston Children’s is so much more than a hospital—it’s a community of researchers, clinicians, administrators, support staff, innovators, teachers, patients and families, all working together to make the impossible possible. ”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000
For Referring Providers: 844-BCH-PEDS | 844-224-7337

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