Online Forms

At Youth Dental & Vision, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form - English

Download & Print Form - Spanish

Privacy Policy

Privacy Notice – English

Privacy Notice – Spanish

Dental Codes & Fees

Aurora YD Top 15 Dental Codes and Fees 2017

Denver YD Top 15 Dental Codes and Fees 2017

Thorton YD Top 15 Dental Codes and Fees 2017

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Contact Us

We look forward to hearing from you.