Patient Forms

Mason, OH, Dentist Serving Greater Cincinnati & Dayton, Northern Kentucky, and Southeast Indiana

Hardin Advanced Dentistry
Caring for Your Healthy Smile
               
Dentists: Dr. Tara Hardin, Dr. Gary Hardin, Dr. Terry Daniel
      
Address:  5350 Socialville-Foster Road
   Mason, Ohio 45040
               
Phone:  513-234-5531
     
Fax:  513-398-5019

For New Patients, please take a moment to fill out the following Medical History form, Patient Registration form, Patient Consent form, Financial Agreement, and our HIPAA Notice of Privacy Practices, by clicking the link below:

New Patient Forms

For Existing Patients, please take a moment to fill out a Patient Update form and Financial Agreement, by clicking the link below:

Existing Patient Forms

 

Office Hours:

Monday - Wednesday 7:30 a.m. - 5:30 p.m.

Thursday -  Friday 8:30 a.m. - 5:30 p.m.