Forms
New Patient
New to Distinctive Dental Care & Dental Sleep Medicine? Please complete and submit our New Patient forms.
Patient Registration (PDF)
Dental History (PDF)
Medical History (PDF)
Sleep Disorder Diagnosis
Think you have a sleep disorder? To facilitate proper diagnosis and treatment, please complete and submit our Sleep Disorder Diagnosis forms.
The Epworth Sleepiness/Fatigue Scale (PDF)
A survey for the patient to help us diagnose and treat your sleep disorder based on sleepiness and fatigue
Bed Partner Survey (PDF)
A survey for the patient’s bed partner to help us diagnose and treat the patient’s sleep disorder based on sleep habits