11961 Bradburn Blvd #300
Westminster, CO 80031
(303) 280-5437
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Patient Information

For your convenience, and to save time at your child’s first visit at our Westminster office, we ask that you click below for Patient Registration Forms which can be printed. Please note that if you are bringing more than one child, you will only need to complete a health history for each child and one copy of the expectations, insurance information, and office and financial policy if it is consistent for all family members. The completed forms can either be brought with you to your first appointment or be emailed or faxed to our office.

Patient Forms

Our team at Cornerstone Pediatric Dentistry is committed to providing quality care with phenomenal customer service. We thank you for making us your choice for your child(ren)’s dental care. By bringing your child(ren) to our practice, you have created a partnership which we look forward to lasting through the years.

As an office, we offer strong communication that demonstrates our respect for you and allows for greater understanding. For this reason, please review the expectations that we hold for ourselves and for you, allowing us to maintain a collaborative relationship focusing on your child(ren)’s needs. Because we value the relationships that we develop with our patients and parents, we encourage you to contact us at any time so that we may further meet your needs and answer any questions you might have.

11961 Bradburn Blvd., Suite 300, Westminster, CO 80031 USA
David D. Schleicher, DDS Westminster CO pediatric dentist (303) 280-5437 (303) 280-5433