At A Dental Fitness Center, your health is our primary concern.  An important first step to providing quality dental care is getting to know you and your current state of health.  Please download or print the appropriate form or forms and bring them with you for your first appointment.  Please bring any current x-rays or dental records also if you have them available..

The information that you provide us is vital to help ensure your safety and promote you optimal health.  Please fill in all forms completely to the best of your knowledge.  A thorough understanding or your past medical health issues can be crucial in the treatments you receive in our dental office.  If there are any questions that you would like to discuss with Dr. Goodwin privately, he will gladly talk with you in total confidentiality.

New Patient Information Form

All patients will need to fill out the basic New Patient Information Form.  Your personal health history and family health history are vitally important to safeguarding your health and planning your dental treatment.  Please complete the form to the best of your knowledge.  It is a well established fact that dental health and total body health are closely linked.  It is impossible to have good total health while neglecting your oral health.  Gum infection has been linked to a variety of systemic diseases such as: heart disease, strokes, diabetes, Alzheimer's, pulmonary disease, low birth-weight babies, and even some forms of cancer.  This vital information about your health and medications, will help us safeguard your health.

Download New Patient Form (pdf.file)

Sleep Screening Questionnaire

Sleep disorders are not only disturbing to your partner, but can be a serious and even potentially deadly health issue.  A good night of deep sleep is essential to good health and mental health.  If you find yourself tired during the day and constantly needing coffee or other stimulants you may be suffering from sleep apnea.  For a consultation on sleep disorders and to find out how dentistry can help, please fill out the Sleep Disorder History Questionnaire.

Download Sleep Screening Questionnaire (pdf.file)

Headache Health History

If you are regularly experiencing morning headaches or migraine during the day, a dental appliance could bring you total relief from pain.  Download or print the Headache Health History Questionnaire.

Download Headache History Questionnaire (pdf.file)