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 St. Paul 651-774-2959
Maplewood 651-925-8400
Rochester 507-258-4046
Robbinsdale 763-270-5776





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New Patient Paperwork
You may print out these forms, fill them out, and bring them with you to your first appointment. 

For patients who are 0 - 11 years of age, please use these forms:

Child New Patient Forms

For patients who are 12+ years of age,  please use these forms:
Adult New Patient Forms


HIPAA Notice of Privacy Practices
Please print out a copy of this for your record.
HIPAA Notice of Privacy Practice 


Additional Resourses for New Patients

Healthy Teeth and a Beautiful Smile!
Important things to know about caring for your children's teeth.

Taking Care of Your Child's Teeth
Important information for parents of children 6 months to 5 years old.

Information for Health Care Providers
Information for Health Care Providers on Community Dental Care's Pregnant Mother's Outreach Program.

Dental Care for Pregnant Moms
When you are pregnant, it is important to take extra good care of your teeth and gums!

Special Dental Care for Pregnant Moms
Community Dental Care provides special services for mothers to help keep their teeth and gums healthy during and after pregnancy.


Call Today 651-925-8400


Call Today 651-774-2959

Saint Paul

Call Today 507-258-4046


Call Today 763-270-5776


Please do not submit any Protected Health Information (PHI).

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.