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

  • This is our second year to use the services of Dental Safari. We are very pleased with the great care we receive from them and look forward to seeing them every year.

    -Dianne Cross
    RN. School Nurse Anna Dist. #37