Patient Forms

We are excited to welcome new patients to the Family Dentistry of Ephrata! Our goal is to make your first visit as quick and relaxing as possible, which is why we invite you to browse through our patient forms below.

Choose which form(s) to download

In-Person Appointment Request Form

Patient Appointment Check-In Form

Wellness Questionnaire

Please find the office that will host your first visit and click on the corresponding links to request an appointment physically or remotely. Then, fill your check-in form and complete our wellness questionnaire.

Completing your forms ahead of time will help expedite your initial visit and give us valuable information we need to provide you with the most effective treatment. Minimize the time you spend waiting and maximize the time you spend getting our industry-leading dental care!