3585 124th Ave NW Ste 400, Coon Rapids, MN 55433
Give Us A Call (763) 767-1524

Child's Forms

We are excited for our new patients to be able to fill out forms on iPads at the practice. Please make sure to arrive at least 15 minutes before your appointment to complete the forms.

The following forms can be printed and completed for your convenience.

For Doctors Only

Some forms require Adobe Acrobat Reader to view. If you do not have Adobe Acrobat Reader, you may click the link for a free download.

Patient Forms

Click Here to download our patient forms

Office Hours

Mon: 8:00am - 5:00pm
Tue: 8:00am - 7:00pm
Wed: 8:00am - 5:00pm
Thurs: 8:00am - 7:00pm
Fri: 8:00am - 2:00pm

*3 Saturdays a month during school year from 8am - 1pm

Our News

Click Here to see what's new at Riverdale Pediatric Dentistry