% extends ‘base.html’ %} {% block title %}Patient Forms · {{ clinic_name }}{% endblock %} {% block content %} Portal Forms Start Patient Forms Start secure online forms inside the patient portal instead of jumping back to the marketing site. Choose the form path that matches your visit, then continue through the secure packet. Already have a secure form link from the office? Use that link directly so the office can match your submission faster. {% if errors %} {% for error in errors %} {{ error }} {% endfor %} {% endif %} {{ starter_options[“new_patient”].title }} {{ starter_options[“new_patient”].description }} Patient full name {{ submitted[‘new_patient’][‘patient_name’] }} Email address {{ submitted[‘new_patient’][‘patient_email’] }} Mobile phone {{ submitted[‘new_patient’][‘patient_phone’] }} {{ starter_options[“new_patient”].button_label }} trusted for first visits, registration updates, insurance details, and the main intake packet before treatment begins. {{ starter_options[“medical_update”].title }} {{ starter_options[“medical_update”].description }} Patient full name {{ submitted[‘medical_update’][‘patient_name’] }} Email address {{ submitted[‘medical_update’][‘patient_email’] }} Mobile phone {{ submitted[‘medical_update’][‘patient_phone’] }} {{ starter_options[“medical_update”].button_label }} trusted for returning patients who need to review medications, allergies, recent surgeries, or other health changes before the next appointment. Helpful office links Use the portal for forms, then keep the main patient-information pages close for visit prep and policy review. First Visit Guide Insurance & Payment Financial Policy Privacy Notice Need help instead? Use the office contact paths when you need a person, have an urgent dental concern, or already received a secure link from the team. Call the office: {{ website_phone_display }} Office hours: {{ website_office_hours }} Message the office: use the contact page for non-urgent questions. Contact the Office Request Appointment {% endblock %}