Patient Dental Forms


Dr. Toothfarrey requires dental forms to be filled out before your visit! Completing the dental forms help to speed up the check in process at our facilities. If you are a new patient try to arrive 15 minutes prior to your visit so that the necessary information may be placed in your file.NEW PATIENT FORMS ARE NOW SENT ELECTRONICALLY AFTER SCHEDULING ONLINE. CLICK BELOW TO SCHEDULE AND RECEIVE FORMS TO COMPLETE BEFORE YOUR DENTAL APPOINTMENT. A $35 CANCELLATION FEE WILL BE CHARGED TO ALL NO SHOW APPOINTMENTS!

Moultrie Online Scheduling

Riverdale Online Scheduling


Record Release Form

Instructions After Your Extractions/Surgery

Instructions on Care for your Dentures

Instructions on Bleaching Appliances

Instructions on Maintaining Ortho Appliances


 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.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.