Patient Forms

At Midtown Dental Center, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring a printed copy in with you at the time of your visit.
​​​​​​​

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax or email us your completed form(s) or bring a printed copy in with you to your appointment.

  • ​​​​​​​New Patient Form

  • FILL OUT​​​​​​​

  • Patient Symptom Questionnaire

  • FILL OUT

  • Hygiene Symptom Questionnaire

  • FILL OUT
Helpful Articles

All Services

Learn More

Book an appointment

Click here
admin none 9:00 am - 5:00 pm 9:00 am - 5:00 pm 9:00 am - 5:00 pm 9:00 am - 5:00 pm 9:00 am - 5:00 pm Closed Closed dentist https://www.google.com/search?q=midtown+dental+center+atlanta+ga&rlz=1C5CHFA_enUS699US699&oq=Midtown+Dental+Center+ATL&aqs=chrome.0.0j46j69i57j69i60.2302j0j7&sourceid=chrome&ie=UTF-8#lrd=0x88f50410b463c0e9:0xb31a4128ee35376e,3 https://www.yelp.com/writeareview/biz/dW4dIzYwp4pYEwP7GpuXQA?return_url=%2Fbiz%2FdW4dIzYwp4pYEwP7GpuXQA&source=biz_details_war_button https://www.facebook.com/pg/Midtown-Dental-Center-189197864424158/reviews/?ref=page_internal