Patient Forms

Online Forms

s-pediatric3You may access the following forms to assist us with your care. Please complete the following forms, and click the “Submit” button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Forms

For your convenience, we have provided our patient forms in a digital format for you to download, complete and bring in with you on your first visit. Click on the links below to download our forms.


Get Adobe Reader *These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

The Children’s Choice Pediatric Dentistry

  • South Office - 418 East 30th Ave., Spokane, WA 99203 Phone: 509-624-1182 Fax: 509-624-0823
  • North Office - 9711 North Nevada St., Spokane, WA 99218 Phone: 509-755-5437 Fax: 509-755-0444

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