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U.S. Department of Health and Human Services
Albuquerque Indian Dental Clinic

Patient Information

First Visit - To make your first visit with us go as smoothly as possible these are some of things we will need.

A parent or legal guardian must be present at any appointment for children under 18. Please plan to bring the following:

  • Legal papers for temporary or permanent guardianship
  • The patient's Certificate of Indian Blood (CIB) or the parent's CIB if the child is under 18.
  • Social Security Card
  • Picture ID
  • Private insurance cards or Medicaid cards
  • List of current medications including over-the-counter
  • Medical History Form (Please print, SHOULD NOT be signed until witnessed by the staff upon check in)

Medical History and Parent Consent Forms

Please print and fill in each form as required. Bring the forms with you to your appointment