Walter E. Gay, Jr., DDS

602 Main Street, Suite 315
Cincinnati, OH 45202
(513) 381-7900

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF
  • Patient Form (Adult) PDF
  • Dental History (Adult) PDF
  • Medical History (Adult) PDF

If you're unable to open PDF files, you can get Adobe Reader® for free.

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