Patient Forms

Please take a minute to fill out and submit the patient information form.  Also, please download and print a copy of our Privacy Notice Acknowledgment form before your first appointment.

If you're unable to open PDF files, you can get Adobe Reader® for free.

David Resch, DDS, MS, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We have made our Notice of Nondiscrimination available for download below:

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 651-789-7897 (TTY: 1-800-627-3529).

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb raukoj. Hu rau 651-789-7897 (TTY: 1-800-627-3529).