office forms

Please Click on the links below to complete our patient forms:

 

English Version:

First Visit Patient Forms

 

Spanish Version

Primero

 

 

Thank you for
completing our forms!

Martha Hardaway, DMD, MS

Board Certified Pediatric Dentist

 

Parisa Tashakkori, DMD

Board Eligible Pediatric Dentist

 

We are here for you and your child.

Our goal is to exceed your expectations.

 

From the time your child grows their first tooth until they are ready to move on to an adult dentist, our doctors and their team will help care for and protect your child’s smile. Because children are so different from adults, we take a unique approach to every patient. We treat our patients as if they were our own and we want each visit to be a fun, educational visit.

 

Be a Social Bird!

Follow us to see all the fun we have at Bluebird Pediatric Dentistry...

 

LOVED BY KIDS. TRUSTED BY PARENTS.

Read what our patients and their parents say about us...

I think I was more nervous than my daughter about having two baby teeth extracted. It was over so fast and the staff at Bluebird was amazing! She did so well and I would recommend them for any pediatric dentistry needs again and again and again!  HR, Google

 

My 4 year old daughter loves this office! They explain everything in a way she can understand and helps her to feel very comfortable. She’s had a tooth pulled and baby root canal at this office where they had to put her under anesthesia and she still loves to visit her dentist! Grateful for such a great group of people to grow with!  MM, Google

 

Dr P and her hygienist made my 2 year old feel comfortable and we’re so patient with her. She was scared and they did everything possible to make her trust them! 100% recommend!  MK, Google

Read more Reviews!

We look forward to you flying in to see us...


Our new pediatric dental office is designed especially for your child’s comfort and safety.

Required

Required

Submitting Form...

error

Form received. Thank You!

We will confirm shortly.

Required

Required

Required

Required

Required

Preferred Location:

 

We are here for you

and your child.

Our goal is to exceed

your expectations.

 

From the time your child grows their first tooth until they are ready to move on to an adult dentist, our doctors and their team will help care for and protect your child’s smile. Because children are so different from adults, we take a unique approach to every patient. We treat our patients as if they were our own and we want each visit to be a fun, educational visit.