Patient Forms for Worthington Dentist: Dr. Nicholas J. Terse
If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our Worthington dental office if you have any questions at all.
Financial Policies Form
HIPAA Practices Form
New Patient Form
(Print & Complete All Forms Prior To First Office Visit)
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.