Patient Forms & Information

New Patient Registration

This new patient form may be filled out prior to your visit, for your convenience. Please bring a copy with you or email it to us at info@westsidedentistrymn.com.

Registration Form

New Patient Medical History

This new patient form may be filled out prior to your visit, for your convenience. Please bring a copy with you or email it to us at info@westsidedentistrymn.com.

Record Release

If you have records at another dental office that you would like sent to us, please fill this out and email to info@westsidedentistrymn.com.

Medical History Form

Release Form

Looking to Pay Your Bill?

Look no further, click the button to make a patient payment in our easy-to-use payment portal.

Payment Portal

Contact Westside Family Dentistry

101 Lake Steet West
Suite #220
Wayzata, MN 55391
952-475-2464

info@westsidedentistrymn.com

Hours

Monday & Tuesday: 8 AM – 5 PM
Wednesday: 7 AM - 3:30 PM
Thursday: 8 AM – 5 PM
Friday: 8 AM - 1 PM
Saturday & Sunday: Closed