• Home
  • Contact Us
  • Patient Forms
  • Photos 1
  • Photos 2
  • Covid-19 Support
  • Insurance
  • Services
  • Dental Education
  • Post-Op Instructions
  • Pre-Op Instructions
  • Our Team
  • Payment Options
  • More
    • Home
    • Contact Us
    • Patient Forms
    • Photos 1
    • Photos 2
    • Covid-19 Support
    • Insurance
    • Services
    • Dental Education
    • Post-Op Instructions
    • Pre-Op Instructions
    • Our Team
    • Payment Options
  • Home
  • Contact Us
  • Patient Forms
  • Photos 1
  • Photos 2
  • Covid-19 Support
  • Insurance
  • Services
  • Dental Education
  • Post-Op Instructions
  • Pre-Op Instructions
  • Our Team
  • Payment Options

Patient Forms

New Patient & Annual Update Forms w Covid Screen (pdf)Download
Permission to Treat a Minor (pdf)Download
Consent to Release Dental Records from Barth Family Dentistry (pdf)Download
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Barth Family Dentistry

1821 Florence Pike, Suite #2, Burlington, KY 41005

859-689-7700

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