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New Patient Forms
Seating in our beautiful waiting lobby The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call and our staff will be happy to help you.

Print & Return


New Patient Forms
Notice of Privacy Practices
Health History


Fill & Submit Online


Southwest Office


New Patient Forms

Dupont Office


New Patient Forms

Huntington Office


New Patient Forms
Logo for Summit Dental Group






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Dentist Fort Wayne, IN • Summit Dental Group - Patient
At Summit Dental Group, we have provided our patients with forms so that they can fill it out before their scheduled dental appointment in Fort Wayne or Huntington.
Summit Dental Group, 9121 Illinois Road, Fort Wayne, IN 46804 - 260-297-7081 - summitdentalgrp.com - 3/19/2023 - Page Keywords: dentist