Dennison DentalDr. Katya Yankelevich · DDS
Forms

Forms,
downloadable.

Complete online before your visit, or print to bring with you. Both work — saving them online means you can stop and start.

PDF
Online available

New Patient Intake

Medical & dental history, consents — complete online or print and bring.

6 pages · 8 min↓ Download
Complete online
PDF
Online available

Pediatric Intake

For patients under 18. A parent or guardian must complete and sign.

4 pages · 5 min↓ Download
Complete online
PDF
Online available

Insurance Information

Help us verify your benefits before your visit.

1 pages · 2 min↓ Download
Complete online
PDF

HIPAA Privacy Notice

How we protect your information. For your records.

3 pages · Read↓ Download
PDF

Financial Policy

Our policies on payment, insurance billing, and cancellations.

2 pages · Read↓ Download
PDF
Online available

Sedation Consent

Required for nitrous or oral conscious sedation appointments.

2 pages · 3 min↓ Download
Complete online