New Patient Forms
New Patient Form
Print & fill out our New Patient Form and bring it on your first appointment to save time
Incoming Records Transfer Form
Print & fill out our Incoming Records Transfer Form if you have any X-rays/ records that need to be transferred to our clinic.
Moving/Leaving Us?
If you need to have your X-rays/ records transferred out
Make payment to cover the cost of processing
Send the completed form by Fax 952-432-7633 or email to info@elitedentalllc.com. Thank you and please call our office 952-432-1716 if you have any questions at all.