Patient Forms

Be sure to fill out your child’s oral medical history with our patient forms before their visit with Dr. Marisol Bolivar. This will allow our pediatric dentist to determine which treatments may be better for their oral health based on their previous care as well as the current state of their teeth. Call The Tooth Cottage Children’s Dentistry at 904-429-3387 for any questions you may have.

Check back soon for our online patient forms!

Consent to Accompany a Minor Child
Records Release Form