Call Us Today! - Hablamos Espanol
Make an Appointment Click Here

Burg Pediatric Patient Information

Welcome to Burg Pediatric's New Patient form process. In the following pages, you will be given the necessary forms required to register as a new patient at Burg Pediatric Dentistry. Your form will not be complete until you submit it in the very last step. Please make sure that you have your child/children's insurance information and medical history ready before starting this process. Contact us if you have questions.

Download Forms

If you would prefer to download the forms, select the packet you need below: