Patient Forms & Information

New Patient Registration

We send our New Patient Registration forms by email. If you prefer paper forms you may view and print them here. 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?

We send our statements by email or standard mail if preferred. A secure pay link will be sent to you via text and/or email for you to pay securely online. If you haven’t received a link please call us and we will be happy to send it!

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

Hours may change for holidays. Please call for details.