New Patient Forms
Roosevelt Dental welcomes all new patients.
For your convenience, our New Patient Forms* are available below for reviewing and filling out at your leisure, saving you valuable time at your first appointment. Simply download, print, complete the forms and bring them with you on the day of your visit. Or if you prefer, you may fax them to us at (207) 894-5590 prior to your dental appointment. If you have any questions concerning our New Patient Forms, please contact us and our staff will be happy to answer your questions.
*Forms require Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you may click here for a FREE download.