C. Blaine Curtis, DDS :: 14 North Hale Street :: Grantsville, Utah
LiveChat

If you are a new patient with Grantsville Family Dentistry you can save time by filling out the forms before you come in. Please fill out the forms on your computer and email them to info@grantsvillefamilydental.com.

Form instructions:

  1. Please click the "Download Forms" button.
  2. A new window should open up as an Acrobat Reader form.
  3. Fill out the forms until complete.
  4. Click the icon (picture) of the Floppy Disk in the upper left portion of the form.
  5.  A new "save a copy" window will appear and then rename the file "gdf forms".
  6. Then click Save.
  7. Then open your email and click the attach form and browse for the saved "gfd forms" file and send it to reception@grantsvillefamilydental.com.
  8. If you have any questions please call or email us.

Adobe Acrobat Reader is required to complete and print these forms. You can download Acrobat Reader here.

New Patient Forms

Insurance Forms

14 N. Hale, Grantsville, Utah
phone (435) 884.3476 :: fax (435) 884.6790