Welcome Package/Forms

We would like to take this opportunity to welcome you to Oneida Dental Group.  For your convenience, we have supplied our patient forms in pdf format.  If you wish, click on the links below, print, complete the forms at home, and bring them with you to your first visit!  We look forward to greeting you!


Patient Registration Form for Adult

Adult Health History Form

Patient Registration Form for Child

Child Health History Form


Patient/Spouse Release Form

Dental Benefits Form

Patient Information Form

Records Release Authorization Form

Notice of Privacy Policy Form

Acknowledgement of Receipt of Notice of Privacy Practices Form

Payment Policies

Sleep Dentistry Survey

Financial Policy

Get Acrobat Reader Adobe Acrobat Free Reader