Once you have scheduled your appointment with us, please click the link
below to print out the New Patient Medical History Form.

View & Print New Patient Medical History Form

We Offer No Interest Payment Plans...
You can apply online or download and print the application and bring it in when you see Dr. Harter. The application is quick and easy, and after it's submitted, you'll instantly learn if you're approved.

American Dental Association, www.ada.org, Member, 2008
OHIO DENTAL ASSOCIATION, www.oda.org, Member, 2008
Greater Cleveland Dental Society, www.gcds.org, Member