Patient Forms

Visiting the dentist for the first time can feel a little overwhelming, especially when you are bringing your children in! Our pediatric dentist and team want to make sure that you and your children have a great experience at Lehi Pediatric Dentistry, and to help make your visit easier, we have provided our patient forms on this page. Here, you can download, print and complete your patient forms before your visit and bring them with you when you bring your children to see Dr. JD Reimschiissel.

Online Forms

New Patient Forms
Consent to Proceed
Cancellation Policy
Financial Agreement
Notice of Privacy Practices

By completing your paperwork prior to your child’s dental appointment in Lehi, Utah, your visit will be easier, calmer and faster. You can spend more time working with our team to improve your child’s smile. If you would like to make an appointment or have questions about our paperwork, feel free to call our team at 801-766-5557.