Burnsville Forms
Please complete and submit the forms below prior to your upcoming appointment.
- COVID-19 Patient Disclosures (please complete ON THE DAY OF each appointment – not days beforehand)
- Health History UPDATE (please complete for each appointment. NEW PATIENTS – complete full health form HERE instead)
If you were last seen in our office prior to April 2020, please also complete the COVID-19 Risk Form:
- COVID-19 Risk Form (needs to be completed just once per patient)