{"id":77,"date":"2025-08-14T17:36:36","date_gmt":"2025-08-14T17:36:36","guid":{"rendered":"https:\/\/foothillendo.com\/?page_id=77"},"modified":"2026-05-08T18:25:44","modified_gmt":"2026-05-08T18:25:44","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/foothillendo.com\/index.php\/patients\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"<h2 class=\"mainTitle\" style=\"text-align: center;\"><span style=\"font-size: 16px;\">The forms linked below are blank forms you can view, print and complete at home.<\/span><\/h2>\n<div class=\"mainContent\">\n<p>Online New Patient <strong>WEB FORMS<\/strong> [ <a href=\"https:\/\/patientviewer.com\/WebFormsGWT\/GWT\/WebForms\/WebForms.html?DOID=104059&amp;RKID=43882&amp;WSDID=171587&amp;NFID=171584&amp;NFID=171581&amp;NFID=171578\">click here<\/a> ] submit your information online via a secure portal! There are 4 pages you can complete in the comfort of your home without needing to print anything. Complete the form and click NEXT to move through all 4 pages. Be sure to click SUBMIT when done with the 4th page so the information is sent to us securely. When you click submit you should get a confirmation page that the information was received. If you do not &#8211; we will not receive it, your information is not stored online. Again, you should get a confirmation page if this is done successfully. When unsure call the office and we can check.<\/p>\n<h2 class=\"mainTitle\" style=\"text-align: center;\"><span style=\"font-size: 16px;\">Links below requires you to have a printer.<\/span><\/h2>\n<p>The PDF files will pop open in a new browser window, click the links below to access.<\/p>\n<p>Blank New Patient Forms:\u00a0[\u00a0<a tabindex=\"100\" href=\"https:\/\/drive.google.com\/file\/d\/1r5OGNScsWE-haDuwIvYcmwdV8DAXX7eC\/view\" target=\"_blank\" rel=\"noopener\" name=\"New Patient - Consult Only\">New Patient<\/a> ] PDF<\/p>\n<p>Consent to release dental records form: [\u00a0<a tabindex=\"100\" href=\"http:\/\/drive.google.com\/file\/d\/1ZTAY-2E9IzYEv-RbzIMtsyp9v1WRkjK7\/view?usp=drive_link\" target=\"_blank\" rel=\"noopener\" name=\"Consent to Release\">Consent to Release<\/a> ] PDF<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The forms linked below are blank forms you can view, print and complete at home. Online New Patient WEB FORMS [ click here ] submit your information online via a secure portal! There are 4 pages you can complete in the comfort of your home without needing to print anything. Complete the form and click [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":20,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-77","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/77","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/comments?post=77"}],"version-history":[{"count":7,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/77\/revisions"}],"predecessor-version":[{"id":417,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/77\/revisions\/417"}],"up":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/20"}],"wp:attachment":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/media?parent=77"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}