Help your child’s treatment with our pediatric dentist go even more smoothly. Complete one of the patient forms listed below and bring it to your dental appointment in Salt Lake City, Utah, to help Dr. Ryan Johansen get your child in and treated more quickly. For help filling out a form, call Rose Park Pediatric Dentistry at 801-519-2222.

View Patient Form – English

View Patient Form – Spanish

Oral Surgery Forms

Surgery Forms