ALL Online Paperless Forms – For Office Use
- Adult Sleep & Breathing Questionnaire
- Confidential Information Questionnaire
- Consent for Bone Graft Surgery
- Consent for Botox Therapy
- Consent for Crown Lengthening
- Consent for Crowns & Bridge Prosthetics
- Consent for Dental Extractions
- Consent for Dental Extractions
- Consent for Endodontic Therapy
- Consent for Endodontic Treatment
- Consent for Extraction of Teeth
- Consent for Extraction of Teeth
- Consent for Extraction of Teeth
- Consent for Fillings
- Consent for Gingival Grafting Surgery
- Consent for Impacted Tooth Treatment
- Consent for Implant Removal
- Consent for Implant Surgery
- Consent for Implant Surgery
- Consent for Intravenous Sedation
- Consent for Invisalign Treatment
- Consent for Maxillary Sinus Elevation Surgery
- Consent for Nitrous Oxide
- Consent for Nitrous Oxide/Oxygen Sedation
- Consent for Oral & Maxillofacial Surgery
- Consent for Oral Surgery
- Consent for Oral/Moderate Sedation
- Consent for Orthodontic Treatment
- Consent for Root Canal Treatment
- Consent for Social Media
- COVID-19 Pandemic Dental Treatment Consent
- COVID-19 Pandemic Support Staff Consent
- COVID-19 Patient In-Office Screening
- COVID-19 Patient Pre-Screening
- COVID-19 Patient Screening STAFF
- COVID-19 Staff Daily Screening Log
- Dental History
- Dental Insurance
- Dental Insurance
- Dental Records Release
- Dental Records Release
- Dental Records Release
- Discussion and Refusal of Treatment
- Financial Arrangements, Office Policy, and Pediatric Consent
- Financial Policy
- Financing Non-covered Dental Services
- Health History Questionnaire
- Insurance and Billing
- Insurance Update
- Insurance Worksheet
- Invisalign – The Vision
- Medical History
- Medical History Update
- Medical History Update
- Medical History Update
- Medical Questionnaire
- Medical/Dental History
- Medical/Dental History
- Medical/Dental History
- Medical/Dental History
- Medical/Dental History
- Medical/Dental History
- Medical/Dental History for Children
- Medical/Dental History For Children
- New Patient Information
- New Patient Privacy Consent
- Parental Consent for Dental Treatment
- Patient Information & History
- Patient Information Update
- Pediatric Sleep Questionnaire
- Periodontal Referral
- Personal Health Information Consent
- Personal Information Consent
- Personal Information Consent
- Personal Information Consent
- Post-Operative Instructions Following Oral Surgery
- Sleep Apnea Questionnaire
- Sleep Disorder Symptoms Assessment
- TMJ Health Questionnaire
OLD PDF Forms
LRM Existing Patients Info Update Form
LRM COVID-19 InClinic Patient Guidelines
LRM COVID-19 Pre-Screening Consent Form
LRM COVID-19 In-Clinic Screening Questionnaire
Instructions: The forms can be filled using your preferred PDF software (Adobe Acrobat DC etc..) or web browser (Microsoft Edge, Safari or Chrome). On Apple IOS or Android devices, a PDF app is required such as PDF Elements or Adobe Acrobat Reader. Alternatively you may save the PDFs to your computer, fill out and save the document. Once you have filled out the forms please send/share back to us by email to reception@lrmdental.com or lrmreceptionsouth@lrmdental.com. If you require further assistance please do not hesitate to contact us directly at 780-471-0885 or 587-773-4525 to speak with a scheduling coordinator.