Forms and Documents

You can submit our registration form two ways:

Online

  1. Open the form with Acrobat Reader (Install Acrobat Reader).
  2. Complete the form on your computer.
  3. Email the form to the office location you will be visiting:
  • cheney(at)mintyteeth.com
  • colfax(at)mintyteeth.com
  • pullman(at)mintyteeth.com
  1. Sign the form in person when you visit our office.

In Person

  1. Open the form at home with Acrobat Reader (Install Acrobat Reader) or other PDF viewing software.
  2. Print out the form.
  3. Complete and sign the form.
  4. Bring your signed form when you visit our office.
  5. We have forms at our office for your convenience, also.