Calhoun Dental - Patient Forms

Patient Forms

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 office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit)

Registration

Dental_History

Child_Dental Medical_History

Medical_History

HIPAA_Notice_of_Privacy

HIPAA_Acknowledgement

Calhoun Dental - for your info

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Testimonials

Because of the exceptional skills of Doctor Tom Cornelissen and his expert staff, I now have a smile worth smiling about. With the combination of Invisalign and Tom's craftmanship in cosmetic dentistry, I have a perfect smile for the first time in my life. My only regret is not visiting Calhoun Dental years ago. I highly recommend Tom and Calhoun Dental for anyone looking for the best in cosmetic dentistry.

Dan Cole The Common Man Twim Cities Talk Show Host KFAN

I can’t say enough great things about Dr. Cornelissen and his staff. The recommendation by Angie to get a free consultation to see if I was candidate for Invisalign is advice that I will treasure. The process took about a year and the results were remarkable. Before my treatment I was always a little self-conscious of my smile but was not aware of the difference it would make until I was finished. Now I am proud to smile in close settings and have received numerous compliments about how great my teeth look. The process that I thought would be a daunting task actually turned out to be fun as I would examine the trays to see what my teeth were going to look like in the following weeks. Thanks again!

Brandon Stanton