Below you will find links to the many different forms needed for your child’s upcoming appointment. If you have lost any of the forms that were included in your initial packet they will be in the list below. Please call the office if you have any questions about these forms including: where to fill them out, content, or which ones we will need sent back to us ahead of time.

In- office Sedation Visit:

Pre- Operative Sedation Information

Letter to Your Pediatrician

History and Physical Form


Hospital Visit:

Letter to Parents

Cancellation Guidelines

ASH Consent

ASH History and Physical form, pg. 1

ASH History and Physical form, pg. 2


Treatment Consents:

Extraction Consent

Papoose Consent


General Consents and Release Forms:

Release of Patient Records

Photo Consent for Event


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Contact Us:

575 Rivergate Lane Ste 98 Durango, CO 81301
Phone: (970) 259-0600
Fax: (970) 259-0788

Office Hours:

8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 12:00 pm

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