Miscellaneous Forms

Release of Records Forms

Below you will find release forms to have records from a previous dentist sent to Dr. Davis or to have records sent to another provider from Dr. Davis. Please click on the link, print the forms and complete them in the privacy of your home. You may return them to us by fax or email. Once we have the release form, we are happy to request records for you or if you prefer to request them on your own, that is also an option. It is our pleasure to assist you. Please let us know how we can help.

Current Medication Log

If you have changes in your medications, please print the “Updated Medication log” and bring it with you to your appointment so we can keep your records current. It is important to have your medical history and medications current all times in the event of an emergency. 

Sedation Forms

 If you have decided to utilize in-office sedation at an appointment, please print, read and sign the following forms. You must go over the forms with an office representative prior to your appointment.  

Zoom Whitening Forms 

If you are having in-office whitening, please print, read and sign the consent form. You must go over the forms with an office representative prior to your appointment. We have included the after care instructions here for your convenience.