Pleasant Valley Dental Care
A Great Dentist

New Patient Forms

New patients to our office are asked to set up a "MyChart" account through our patient communication software, Oryx. Setting up this online portal allows you to fill out new patient paperwork, sign documents, and receive important communications and referral information all online. 

If you are interested in becoming a new patient at our office, or if you are an existing patient and need to set up your Oryx MyChart account to complete requested paperwork, please e-mail us at info@pleasantvalleydentalcare.com or call us at 802-644-5135. We will then e-mail you a link with instructions on how to set up your account.

If you prefer to complete your paperwork on actual paper instead, please click the link below to download a copy of our New Patient Paperwork packet, and return it to us by mail or in person before your next appointment.

New Patient Paperwork

This packet includes:

1) New Patient Registration

2) Medical History

3) HIPAA Consent Form (see Notice of Privacy Practices downloadable document below)

4) Acknowledgement of Office Policies

Notice of Office Privacy Practices

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