Northwest Arkansas Family Dental
Fayetteville, AR Dentist

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

New Patient Form

Medical History

Dental History

Release of Medical Records

Acknowledgement of Receipt of Privacy Practices

Privacy Practices

Financial Policy

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (479) 521-2002
View the ADA Accessibility Statement
Our practice has resumed normal operations with extra COVID-19 precautions. The quality of your treatment will remain as it always has, at a high level.  Please review our patient protocols below to know what to expect for your appointment. Please contact our office at (479) 521-2002. We look forward to seeing all of your smiling faces!

To learn more about additional levels of protection for our staff and our patients, please take a look at our  COVID-19 guidelines.