Cañon Family Dental
Effective January 1, 2024, Canon Family Dental will start the transition to being fully closed on Mondays starting June 1st.

Patient Forms

Save time waiting in our office by filling out necessary forms ahead of time. The following forms are available to print out and fill in before your arrival. Please feel free to give us a call if you have any questions.

Driving Age Consent

Form to be filled out if your child is at least 16 years old and will be allowed to drive themselves to the appointment

Child Proxy

Form used to allow an adult other than the parent or legal guardian bring child to their appointment.

2020 New patient paperwork

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (719) 285-4784
View the ADA Accessibility Statement