Patient Forms

In pediatric dentistry, we know that the experience does not only belong to your children, but to the parents as well. When you come to our practice, we will do our best to make sure both you and your child feel comfortable and at ease.

To help you prepare for our office, we have provided the following downloadable patient forms:

Patient Information Form
Financial Agreement
HIPAA

By downloading, these forms, you can fill them out and prepare them for your visit with our office. We hope that by preparing these forms beforehand, we can help you save time on your visit with our office. Please feel free to contact Children’s Landing Pediatric Dentistry if you have any questions or to schedule your child’s appointment with Dr. Michael Tew and Dr. Ryan Burt, our experienced pediatric dentists in West Jordan, Utah.