Columbus, OH
(614) 261-8700
New patients

Fill in your forms before you arrive

Two forms, both downloadable below. Filling them in at home is the difference between sitting in the waiting room with a clipboard and going straight through to the chair.

The two forms

Patient Registration Form

Your name, contact details, insurance and who to reach in an emergency. This is the form the front desk would otherwise hand you on a clipboard.

Download Patient Registration Form (PDF)

Medical History Form

Current medications, past treatment and anything Dr. Amini should know about before she looks in your mouth.

Download Medical History Form (PDF)

What to bring

Three things that make the first visit faster

Your insurance card

So the front desk can check your coverage while you are there.

A list of current medications

Anything you are taking now, for the medical history form above.

Any previous x-rays

If you have them from a prior dentist, bring them along.

Questions about insurance before you book?