Patient Forms
Save time at your child's visit by completing patient forms before your appointment with SixOneSix Dentistry for Children. Have medical history, current medications, and dental insurance details ready. Upload or bring your photo ID and insurance card. Submitting forms in advance speeds check-in and helps our pediatric dentists prepare personalized, kid-friendly care.
Complete Your Forms Online
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New Patient Forms
First-time visitors: complete these forms before your child's initial appointment.
Open Form →📝Current Patient Forms
Returning patients: update your info or complete forms for an upcoming visit.
Open Form →📄Records Release Form
Request transfer of dental records to or from another provider.
Open Form →Questions or Need Help?
Call SixOneSix Dentistry for Children at 616-626-5024 (Byron Center) or 616-884-5812 (Rockford) to get your forms and schedule today.