Patient Forms
Choose online forms through Open Dental eClipboard or download paper forms to print, complete, and bring to your visit.
Open Patient FormsNew Patients
Powers Family Dental Care welcomes children, adults, and families looking for a dental home in Mariemont Square. This page helps you schedule, access forms, know what to bring, and feel prepared before your first visit.
Questions are welcome before your appointment. Call Monday through Thursday, 8:00 AM–4:30 PM.

How to get started
Getting started should feel clear, not complicated. Our team is glad to answer questions before your first appointment.
Call our Mariemont office so we can help find an appointment time and answer any first-visit questions.
Visit our patient forms page to complete forms online through Open Dental eClipboard, or print the forms and bring them to your appointment.
Bring any questions, insurance information if applicable, completed forms if you have not submitted them online, and details that help us understand your dental history.
Forms and resources
Forms and privacy information are easy to find here. If something is unclear, call the office and we will help.
Choose online forms through Open Dental eClipboard or download paper forms to print, complete, and bring to your visit.
Open Patient FormsReview the practice's privacy information any time. The notice opens as a PDF from this website.
Privacy PracticesIf you are not sure what to complete, print, or bring, call our Mariemont office and our team can point you in the right direction.
Call Us With QuestionsFirst visit
Your first visit helps us get to know you, your dental history, your goals, and any concerns you want to discuss. Depending on your needs, your visit may include an exam, routine diagnostics, and time to talk through next steps.
Why new patients feel comfortable here
New patients deserve more than paperwork. Our goal is to make your first visit feel organized, personal, and easy to understand.
Children, adults, and families are welcomed with attention to comfort, communication, and long-term relationships.
We keep the first steps simple: call, complete forms, bring your questions, and let us help from there.
Digital tools and thoughtful planning support clearer information and a more comfortable patient experience.
From one family to another
Families often want to know they will be cared for personally, especially when a child feels nervous or a visit feels unfamiliar. This kind of support is a big part of the experience here.
“You never feel like you’re just an appointment. You feel like they’re a family and they care about you and your health.”
First-visit questions
Completing forms ahead of time is encouraged because it helps your first visit start more smoothly. If you cannot complete them before your visit or have questions, call the office and we can help.
Yes. Visit our patient forms page and choose Complete Patient Forms Online. Our Open Dental eClipboard system opens in a new tab.
Yes. Download the paper forms from our patient forms page, print and complete them, and bring them to your appointment. Call our team if you have questions.
Bring insurance information if applicable, completed forms if they were not submitted online, a list of questions or concerns, and any dental or health history details that may help us care for you.
Call the office so our team can understand what is happening and help you determine the next step.
Yes. Powers Family Dental Care welcomes children, adults, and families looking for ongoing dental care in Mariemont.
Call our Mariemont office to schedule your first visit, then use the patient forms page when you are ready to prepare. We would be glad to welcome you.