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Custom Sheets

Open Dental can customize Patient Forms and Web Forms (also known as Sheets) for customers currently on support.

There is a high demand for this service so it may take a few weeks for us to process your request and provide a quote. Rates can be found on our Fees page. If you would like to customize your own sheets instead, a few helpful resources include our Sheet Customization Webinars and our Online User Manual.

If you are screening patients before treatment, a Dental Patient Screening Form is available in versions 19.4 and greater.

There is no charge to submit a request. A Design Services team member will contact you prior to any charges and will offer a quote before moving forward.

Custom Sheet Request Form

Please fill out each section carefully. If you need clarification contact support.


Practice Title or Doctor's Name


Individual Making the Request


Practice Phone Number associated with Open Dental account


Contact Phone Number


Email Address


Verify Email Address


What version of Open Dental are you currently using? (In Open Dental, click Help, About or Help, Update)


How will you be using the form(s)?


Will you be printing out these forms for your patients?


Do you want the form(s) set up for Mobile View?
Required for eClipboard users. You must be on Open Dental v18.4 or greater for this feature.


Do you already have a form (e.g., PDF, Word document, etc.) that you would like to provide as a sample?

Open Dental Software 1-503-363-5432