Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

(Print & Complete All Forms Prior To First Office Visit) 

Health History 

Patient Information

HIPAA

Records Release

 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.

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Hank Willis Dentistry
"Gentle Dental Care for the Entire Family"

Bonners Ferry Dentist, Dr. Hank Willis is dedicated to family dentistry such as Exams, Teeth Whitening, Veneers and more. We are looking forward to your visit to our Bonners Ferry, Idaho dental office.


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