Patient Forms

New patients

You may complete your paperwork prior to your first appointment in our office if you wish. If you have any current x-rays at another office, please fill out the x-ray release form.

Health History

If you would like to update your health history prior to your next appointment, print out the form and bring it with you to your next appointment. For your convenience the form is available in both English and Spanish.

Records Release

If you are moving out of the area and would like your x-rays sent to another office, please complete the records release. The form can be emailed to or faxed to 701-483-2273.

Visit us today

High Plains Dental provides high quality dental care in Dickinson, North Dakota. Our team is committed to providing each patient with personalized care. We work with each patient individually to establish their goals for their oral health and smile. Our practice utilizes state-of-the-art equipment and dental technology to ensure every patient receives up-to-date advanced care. We are dedicated to helping patients understand their dental health care options.