Updated Your Child’s Health History Yearly

Keeping your child’s health history updated and current helps us give your child effective and efficient dental treatments at their visit.

Does your child see us at one of our school-based visits?

Fill out their forms online here!

Does your child visit us at one of our clinics? 

Fill out their forms online here!

Looking for forms to print out and send back to school?

Health History – English
Health History – Spanish 

Authorization M14 Forms

East De Pere School District – English
West De Pere School District – English
Green Bay Area Public School District – English
Green Bay Area Public School District – Spanish
Pulaski Community School District

HIPAA & Privacy Practices

OHP Privacy Practices
HIPAA Consent to Share Form English and Spanish