Forms / Downloads

Downloadable forms in PDF and MS Word format are available below. 

If you need to make a payment. Please select your payment option and click "Buy Now". 

Cash Payment Price





We are now serving patients in Indiana. You can find the necessary PDF forms at the links below. 

Consent Form - Indiana
Consent Form - Indiana (Spanish)
Whats Your Cost - Indiana
Whats Your Cost - Indiana (Spanish)



Click Here for the Dental Safari Online Consent Form

  • The office staff called several times beforehand to answer any questions I had. They arrived on time. They worked hard to see all our students in one day. Their equipment was clean and in good condition. The staff was courteous and kind to our students. I have no complaints with Dental Safari. I will look forward to working with them next year!

    - Bobbi Duffie
    Nurse Marissa