Patient Forms

Save yourself time by filling out our necessary patient forms at home, when it works for you.

All forms will be completed online and submitted directly through the online portal.

Have questions? Call us and we can help you fill these out over the phone.

New Patient Forms

All new patients will need to complete this paperwork prior to their first appointment. The forms will be submitted electronically to the Office.

Health History Forms

All patients will need to update their health history forms annually. 

Minor Consent Form for Routine Care

Please complete this form if you are unable to accompany your minor child to their routine care (cleaning, xrays, fluoride) visit. This form does not cover any other treatment and will remain on file until your minor child reaches the legal age of consent in the State of Ohio. If your child will be receiving more extensive treatment and you are unable to accompany them for their visit please speak to the front desk team to get the appropriate paperwork.

Schedule Your Visit

We believe in a patient-centered approach to dental care. What does that mean? It means that we talk with you. We practice dentistry in the best interest of our patient’s health.

Choose from our locations

Where would you like to visit?

Comforted by the staff. Practical and solid advice from Dr. Bookwalter. Considerate of my age and condition.

Maria G

I love going to get my teeth cleaned! Especially when you have wonderful folks like those at Anthony dental care.

Dani W

Associations & Memberships

We’re proud to be affiliated with the following organizations:

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