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New Patinets

  • WELCOME TO BRIGHT RIDGE DENTAL

We Are Always Welcoming

For your convenience. our new patient forms and financial policies are available
to download and fill Out prior to your first appointment.

Save Time
at Your Appointment

Complete your forms in advance for a smoother, faster check-in.

  • INSTRUCTIONS

How to Download and Complete the Forms

Click on the links below

to open each form in a new tab.

Download the form

Click the "Download" button or right click and select "Save Page As-.

Fill out the form

Open the PDF in Adobe Reader, complete each field, and save your changes.

Print or email

Print the forms or email them frontdesk@brightridgedental.com after filling them out.

Note: Filling out the forms in the view-only tab that first opens may result in the forms printing out blank when completed.

Please Click All Links Below to
Download Our New Patient Forms

Please Click All Links Below to Download Our New Patient Forms

Each form opens in a new tab as a fillable PDF (in Adobe Reader).
 

Part 1

patient hipaa consent form

Part 2

Financial Agreement

Part 3

adult-registration

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Visit office in Bentonville. AR.

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