Forms / Downloads

Online Forms

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)



PDF Format

MS Word Format

  • Awesome - we have been very pleased with Dental Safari. Very efficient and great with the kids. All the staff have been super nice.

    - Amy Eggemeyer,
    Nurse Chester