Caring General Dentists in Warren, PA
For Your Dental Needs, Rely on Peter Hoffmann, DMD, PC
Before you come in for your appointment, please complete the following patient information forms. We have three ways to access them, download and print them from home, complete them online or ask us to mail them to you. By completing these forms and providing us with this information allows us to get your appointment going smoothly when you arrive.
Download and Print the Forms
Please bring all forms completed and signed for your appointment.
- Health History
- Release of Protected Health Information
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
- Patient Agreement to Receive Electronic Communication
If you’re having trouble, call our office. We will be more than happy to assist you.
Complete the Forms Online
While filling out the Health History information (must be completed for each visit), complete all sections. If it does not apply to you, simply answer no or none. Complete Health History Detailed information additionally if it has been two years or more since your last visit.
Please complete the Consent for Internet Communications if you have not done so before.
If you have address or insurance changes, please fill out the Patient Information form.
Existing Patients sign in to complete and submit all information.
New Patients sign in to complete and submit all information.
If you are having trouble, please call our office. We will be more than happy to help you.
Contact our office to request the necessary forms be mailed to you. Remember to bring the complete forms with you to your appointment. 814.726.3630