To save time at your first visit, please fill out the medical and dental history and patient information forms below and bring them to your appointment.
Authorization to Release Dental Information Form English
Authorization to Release Dental Information Form Spanish
Authorization to Release Dental Information Form Amharic
Authorization to Release Dental Information Form Simplified Chinese
Authorization to Release Dental Information Form Vietnamese
Authorization to Disclose Patient Information English
Patient Consent Form EnglishPatient Consent Form SpanishPatient Consent Form AmharicPatient Consent Form ArabicPatient Consent Form SomaliPatient Consent Form Chinese
Patient Consent Form Cantonese
Patient Consent Form Mandarin
Pre-Sedation Instructions English Pre-Sedation Instructions Spanish
Pre-Surgical Instructions Periodontics English
Pre-Surgical Instructions Periodontics Spanish
Notice of Privacy Practices- English
Notice of Privacy Practices- Spanish
Patient's Rights and Responsibilities EnglishPatient's Rights and Responsibilities Spanish
CU Anschutz
School of Dental Medicine
13065 East 17th Avenue
Aurora, CO 80045
303-724-6900