Patient Forms

Call (913) 396-4800

Capstone Dentistry is an all digital office. From our digital x-rays to charting. That means that all patient forms are filled out on a computer when you arrive. However, if you would like to get a head start, we have provided the paper versions for download.

Health History and Patient Registration Forms

Hippa notice of privacy practice 

Hippa authorization 

Financial policy 

Patient advisory 


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.



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