Patient Forms

Save Some Time!

Want to save some time on your first visit to the Rochester Dental Clinic? Download and fill out the forms below and bring them with you to your appointment! If you have questions prior to filling out any of the forms below, please feel free to give us a call! 507-282-7905.

Download Our Patient Forms

Patient HIPAA Consent

Download Form

Pediatric Info

Download Form

Pediatric Medical Dental

Download Form

RDC Patient Info

Download Form

RDC Medical Dental

Download Form

Questions? Call Us!


Ready To Love Your Smile?

We are patient focused and family friendly. Our team of dentists, dental assistants, hygienists, and administrative staff are here to serve you and ensure that your dental visits are as comfortable as possible. We’ll listen to your concerns, complete an exam and create a personalized treatment plan just for you. We believe that everyone deserves to have a smile they love. Whether you need a professional cleaning, tooth reshaping and whitening, or dental implants and veneers, we’re here to help reveal your best smile. Are you ready to fall in love with your smile?