Patient Forms

Patient Forms for Cambridge Dentist - Darcy A. Wakefield, DDS 

If you are a new patient to our office, the attached files contain our new patient bundle with forms that will need to be filled out and submitted prior to your arrival to our office. Submitting these online forms 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.

New Patient Forms

Privacy Practices

Nitrous Oxide Consent

 

 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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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Office Location

  • Cambridge
  • 951 Steubenville Ave
  • Cambridge, Ohio
  • 43725
  • Map & Directions
  • Call: (740) 435-3100