Patient  forms

NEW PATIENT REGISTRATION FORMS

Thank you for choosing our office for your dental needs!  New patients, please fill out your intake forms by clicking the link below.

New Patient Intake Paperwork

MEDICAL HISTORY UPDATE FORM (EXISTING PATIENTS)

For existing patients, we ask that you update your medical history (by clicking the link below) and bring in to your upcoming appointment.  Thank you.

Medical History Form

We're here to help!

Whether your needs are simple or complex, Samantha King, DMD offer the highest quality care and dentistry for all ages in a relaxing and comfortable environment.

Contact us today to schedule your appointment!

Call us: 603-436-2144