New Patient Forms

Thank you for selecting Hendricks Family Dentistry in Brunswick, Ohio for your dental care. To schedule an appointment, please call us at (330) 225-1433.

Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Interactive Forms:

• New Child Patient Registration and Health History Form
• New Adult Patient Registration and Health History Form

Downloadable Forms:

• Adult Registration
• Child Registration
• Health History Form

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

We look forward to seeing you! Call 330-225-1433 to set your preferred appointment.