Patient Forms


Please Download and Print these Forms- Fill them out and bring them to your visit.


At Hayden Family Dental, we welcome new patients! As one of the top dentists in Cincinnati, Dr. Rebecca Hayden, DMD, takes pride in working closely with new patients to help them feel as comfortable and welcome as possible. We look forward to seeing you!


Patient Registration Form


Patient Medical History Form


Notice of Privacy Practices


Acknowledgement of Privacy Practices


Schedule an Appointment today!

Hayden Family Dental
(513) 791-4500

M-W 8-5
Thurs 8-4
Closed Friday

Request an Appointment


Schedule your family appointments today!

Monday to Wednesday 8am - 5pm
Thursday 8am - 4pm
Closed Friday, Saturday, and Sunday