Forms

New Patient

New to Distinctive Dental Care & Dental Sleep Medicine? Please complete and submit our New Patient forms.

Patient Registration (PDF)

Dental History (PDF)

Medical History (PDF)

Sleep Disorder Diagnosis

Think you have a sleep disorder? To facilitate proper diagnosis and treatment, please complete and submit our Sleep Disorder Diagnosis forms.

The Epworth Sleepiness/Fatigue Scale (PDF)
A survey for the patient to help us diagnose and treat your sleep disorder based on sleepiness and fatigue

Bed Partner Survey (PDF)
A survey for the patient's bed partner to help us diagnose and treat the patient's sleep disorder based on sleep habits