Patient Forms

Thank you for selecting Hannibal Dental Group in Hannibal, Missouri, for your family dental and cosmetic dentistry needs. To schedule an appointment, please call us at (573) 221-1227 or use our appointment request form.

Once you have made your initial appointment, you may preregister online by completing the interactive forms below, or you may download and print the forms, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Interactive Forms:

• New Patient Registration
• Health History Form

Downloadable Forms:

• New Patient Registration
• Health History Form
• Consent Form
• Email Request Form
• Financial Arrangements

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.