300 Longwood Avenue Boston, MA 02115 (617) 355-6000 Clinical Services (Dentistry): Forms and Paperwork 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. Online form Complete and submit online. or   Paper form (pdf) Print it, fill it out and bring it to your appointment. 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. Medical Record Release Form (pdf) General information New Patient Instructions (pdf) For Patients with Closed Dental Insurance Plan (pdf) Restorative Materials for Posterior (back) Teeth (pdf) The information on this website should not be taken as medical advice, which can only be given to you by your personal health care professional. Copyright © Children's Hospital Boston. All rights reserved.