Mark T. Hanstein, D.D.S. - Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Hanstein and our caring staff. We encourage questions and do our best to always deliver quality care.  You may expect a thorough examination and cleaning that establishes a baseline for the doctor to know your mouth, teeth, and tissue.

If you would prefer to save time in the office, please take a moment prior to your scheduled appointment to download our patient forms. You can complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Adult Registration

Child Registration

Treatment Consent

Patient Agreement and HIPAA Form


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 you may have. We look forward to hearing from you!


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