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(513) 271-6322Patient Forms
Powers Family Dental Care

Patient Forms

Welcome to Our Dental Practice!

At Powers Family Dental Care, your comfort, well-being, and oral health are our top priorities. We understand that your time is valuable, and we strive to make the process of giving us your information as convenient as possible.

Choose the option that works best for you: complete your forms online or print and fill them out before your appointment.

Complete Forms Online

Our online patient-intake and medical-history forms are provided through the practice’s Open Dental eClipboard system. Complete them before your appointment to help your visit start smoothly.

Complete Patient Forms Online

Opens Open Dental eClipboard in a new tab.

Print and Fill

Prefer paper? Download the forms, print and complete them at your convenience, and bring them to your appointment.

Download Patient Forms (PDF)

Four-page PDF. Opens in a new tab to save or print.

Why We Ask for This Information

Your dental health is closely connected with your overall well-being. Learning about your health and dental history helps our team understand your needs and provide personal, thoughtful care.

Notice of Privacy Practices (PDF)

Questions About Your Forms?

Our friendly team is here to help with either option. Thank you for choosing Powers Family Dental Care—we look forward to welcoming you.