Patient Forms

overview

Patient Forms

We want to make your experience as smooth and stress-free as possible. Our online patient forms let you share important information with us before your appointment — saving you time when you arrive and helping Dr. Larsen and our team better understand your needs. Simply fill out your forms at your convenience, and you’ll be ready for a quick, comfortable visit when you walk through our doors.

Welcome New Patients

Thank you for choosing Larsen Family Dental as your trusted dentist serving Bountiful, Salt Lake, Kaysville, Farmington, Morgan, and patients throughout Davis County and Salt Lake County. Please complete the new patient forms below before your first visit. If you experience any difficulties with the forms, feel free to contact our team at 801-295-8881, and we will be glad to assist you.

Adult Forms (18+)

Child Forms (Under 18)

We Look Forward to Serving You

Our team is composed of highly trained professionals in dental hygiene care. Our goal is to provide you with the best care possible. We pride ourselves on a conservative approach to treating your dental needs. We look forward to getting to know you and your family’s dental needs.

Weave form link

Form 1

Form 2

We Love Our Patients

Our patients are at the heart of everything we do. Their feedback helps us continuously improve and ensures we deliver the best possible care and experience.

    
 
 
       Posted on Google  
    Cindy Wexler 
 
 
 
  I first came to Larsen Family Dentistry after a bad experience with another dentist who used materials I reacted to. Dr. Larsen listened carefully, redid the filling in one visit, and used a biocompatible material that felt great afterward — no pain, no reaction. I really appreciate that he offers holistic options like ceramic fillings and zirconia implants, and that he explains everything clearly. His assistant Jody is always welcoming, knowledgeable, and helps make every visit easy and comfortable. They make a great team.
  
 
      Posted on Google  
    Austin Hileman 
 
 
 
  The best dentist!!
  
 
      Posted on Google  
    Madelyn Morris 
 
 
 
  Everyone is so kind and polite.  Dr. Larson is very helpful, knowledgeable, and friendly, and does an excellent job at dentistry.
  
 
      Posted on Google  
    Tara Pulsipher 
 
 
 
  They are the best!
  
 
      Posted on Google  
    Betty Cunninghan 
 
 
 
  Love my dental care I get!  They are the best.
  
 
      Posted on Google  
    Chelsea Nesmith 
 
 
 
  I’ve been going to Dr Larsen for about a year and a half. He provides excellent dental care, you never feel like he’s rushing you even though their office is busy. I love having the holistic dental options and I really appreciate that he takes the time to explain things and talk you through your options.
  
 
      Posted on Google  
    Jenn Mcpherson 
 
 
 
  Dr. Larsen and his staff are polite and kind. They take the time to listen and offer the best solutions to help.
  
 
      Posted on Google  
    Surfing Bear (Surfing Bear) 
 
 
 
  I love this Dr and whole team. They care about you and take the time to listen to any concerns.
  
 
      Posted on Google  
    Sylvia Stefanelli 
 
 
 
  Dr Larsen and his staff are very competent and friendly. I’d recommend them to anyone!

Patient Forms

overview

Patient Forms

Welcome New Patients

We Look Forward to Serving You

Weave form link

We Love Our Patients

Office Info

Phone

Are You Ready To Get Started?