Patient Forms


At the dental office of Waseca Dental Care, P.L.L.C., we offer patient forms online so that you can complete them in the convenience of your own home or office. Please submit them after completion. If you would rather print them and fill them out, you can bring the completed forms with you to your appointment or fax them to us beforehand at 507-835-1184.

New Patient Forms

Adult Forms or children 12 and older

Child Forms for children 11 and younger

If you do not have AdobeReader installed on your computer, Click Here To Download.

Existing Patient Forms: Update your Information

Please take a few moments to update your information prior to your next visit. You can submit the forms after completion. If you have already filled out paperwork at our office and there have been no changes, just update the Adult Medical History or Child Medical History form. If you would rather print them and fill them out, you can bring the completed forms with you to your appointment or fax them to us beforehand at 507-835-1184.

Adult Forms or children 12 and older

Child Forms for children 11 and younger

If you do not have AdobeReader installed on your computer, Click Here To Download.