New Patient Forms

If you are a new patient, please download and fill out the appropriate forms below and email them to reception@millergoodmandentistry.com 



Adult New Patient Package

Child New Patient Package

If you would like to have your records forwarded from another office please fill out this form and we can send it over to your previous office to have your records released to us

Miller Goodman Records Release Form

Scent-Free Office Notice

We kindly remind everyone that our office is a scent-free environment. Please avoid wearing or using scented products, such as perfumes, essential oils, colognes, or heavily fragranced lotions, as some employees may have sensitivities or allergic reactions.

Thank you for your understanding and cooperation in making our workplace comfortable and inclusive for all.

Informed Consent Forms

If you would like to fill out our informed consent form before your procedure please fill out the appropriate form below and email it to reception@millergoodmandentistry.com 

Informed Consent for Nitrous Oxide Sedation

Informed Consent for Tooth Extraction

Informed Consent for Implant Therapy


Post Operative Instructions

If you have received treatment from our office and wish to review the post-operative instructions feel free to download and review

Extraction Post-Operative Instructions

Root Canal Post-Operative Instructions

Hospital Post-Operative Instructions

Implant Post-Operative Instructions