Online Forms

A convenient option for our patients to fill out and/or update forms online anytime.

Adult Health History Form

Child Health History Form

COVID-19 Patient Screening Form

Insurance Update Form

Authorization for Release of Dental Records & X-Rays

Request for Release of Dental Records & X-rays

Printable Forms

Printable options for patients who prefer printing and filling out forms to bring to their appointment.

Adult Health History Form

Child Health History Form

Authorization for Release of Dental Records and X-rays

Request for Release of Dental Records and X-rays

Our Location

4701 Logan Avenue
Kansas City, MO 64136

Phone: 816-350-1007

You’ll be in great hands with Huckabee Family Dentistry.

Request An Appointment