Aleutian Family Dentistry is now offering Botox! In addition to smoothing wrinkles and lines, Botox has many applications in the head and neck. Dr. Park is specially trained in Botox Application, send us a message aleutianfamilydentistry@gmail.com or on Facebook to get scheduled.

Patient Information

Patient Information


Below are important patient forms that you can fill out prior to your visit and helpful follow up care for post procedure well being. For information on the services that Aleutian Family Dentistry provides please explore our services page. 

New Patient Paperwork 
(Please Print, Fill out and Bring these 4 Forms with you to your First Appointment)

New Patient Information

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Insurance Information

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Office Policies 

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General Consent 
for Treatment

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Post Operative Instructions

Oral Surgery Post Operative Instructions

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Root Canal Post Operative Instructions

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Scaling & Root Planing Post Operative Instructions

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Additional Forms

Parental Consent Form

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Records Release

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Privacy Policy

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Notice of Nondiscrimination

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Language Assistance

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