At Capitol Square Dental, we are committed to providing exemplary dental care in a convenient, comfortable manner, which is why we are pleased to provide our patients forms online. Our dentist and team invite you to fill out these forms prior to your appointment to save you time from completing paperwork in-office. If you have any questions or would like to schedule your appointment with Dr. Mehrdad Safavian, please contact our office at 614-763-6460.

Adult Form

Child Form