Dr. John Kivus , Dr. Jacob Fillebrown, and their dental team are committed to making your first visit run as smoothly as possible, which is why we are happy to provide our patient forms for your convenience. You can save time during your first visit by completing your patient forms prior to your appointment. If you have any questions or would like to make an appointment at our dental office in South Portland, Maine, please contact Gannett Drive Dental at 207-253-5600.


In order to submit the online forms you must use the Google Chrome web browser. Click here to download.

Online Patient Form
Download Patient Form
Online Medical History Form
Download Medical History Form
HIPAA Release Form