Patient Forms
Downloadable patient forms that you can print and fill out before your next visit to Prairie Lakes Family Dentistry in Tracy.
We like to make things easy for our patients, which is why we have provided downloadable PDFs of our most common patient forms. To save you time on your next visit to our Tracy dental office, feel free to print and fill out the appropriate forms. We look forward to seeing you soon.
Downloadable Forms
- Patient Registration [PDF]
- Medical History [PDF]
- Dental History [PDF]
- Notice of Privacy Practices & HIPAA [PDF]
- Dental Consent Forms [PDF]
- Covid-19 Forms [PDF]
- Prairie Lakes Dental Plan [PDF]