Dental Clinic New Patient Form

Thank you for your interest in becoming a patient at the NWTC Dental Clinic. Once your information is received, a dental support staff member will contact you to schedule a dental screening as appointments become available.   

We appreciate your time commitment. Our educational clinic benefits both our patients and our dental hygiene students who will become your future dental providers.   

If you are contacted to set up an appointment, save time by printing and filling out a Medical History Form before arriving.