Patient Registration

We are collecting patient information electronically at every opportunity.  Please complete the applicable packet prior to your appointment.

New Patient Registration Packet

Please complete this information packet prior to your appointment if it will be your child's first time visiting our office.

Established Patient Update

Please complete this brief update packet prior to your appointment if your child is an existing patient of our office.

Requests for Patient Information

If your intent is to have someone other than the parent or legal guardian of your child bring them to their appointment, please contact us prior to your appointment.

Service Animals

Coastal Maine Pediatric Dentistry recognizes the importance of service animals and welcomes them in our practice.  Emotional support animals, comfort animals, and therapy dogs are not service animals under Title II and III of the Americans with Disabilities Act.  Please, keep both pets and patients safe by leaving non-service animals at home when visiting medical facilities.  Thank you for your cooperation.


adobeThese forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.