Patient Forms

Please print, fill out, and bring with you to the clinic a completed COVID-19 screening checklist. If this is your first visit to Friedl Dentistry, please also complete a Medical History form, and bring it with you. This will help speed up your treatment by allowing you to be seen quicker upon your arrival. 

Medical History Forms 

COVID-19 Checklist

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.