About These Free Resources

These documents are part of the legacy collection from Dr. Otterholt (Dr. O), a generous dentist who compiled decades of practical tools and shared them freely with the profession.

When he retired, he entrusted me with archiving them so they remain available to everyone—no cost, no strings. (Read the full story on the main Resources page.)

Enjoy—and thanks to Dr. O for this gift to dentistry!

• Job Applications
  • Employment Application 1
  • Employment Application 2 
  • Employment Application 3 - from Chamber of Commerce 
  • Employment Application 4 - specific for a dental office 
• Employment Forms
  • Download Form I-9 English 
  • Employer Handbook for Form I-9 
  • Download Form W-4 
  • Employee Attendance Record 
• Employee Performance Review forms
  • Performance review form 1 
  • Performance review form 2 
  • Employee Record of Disciplinary Action 
• Office Team Management
  • "Want To Be Liked? Guard Against These Faults" 
  • "As A Professional Team Player, I Will..." 
  • "Attributes For A Winning Personality" 
  • "Why Patients Change Dental Offices" 
  • "How To Become A Better Employee" (or a better employer) 
  • "What Do Employees Want?" 
  • "Tips for Motivating Employees" 
• Miscellaneous
  • Embezzlement and Theft Prevention 
  • Estate Planning For Dentists (and everyone else) 
  • Request for Time Clock Adjustment 
  • Fix-It List 
  • X-ray Viewbox Simulator (PowerPoint) - Turn your screen into an x-ray viewbox by using a PowerPoint program.
  • Templates for printing radiographs (MS Word docx documents) 
    • 4 bitewing x-rays
  • Dental Equipment Maintenance Schedule/Log 

Handouts and Information for Patient

• Post-Op Instructions
  • Implant Placement
  • Bone Graft
  • Sinus Lift
  • Gingival Graft
  • Perio Surgery
  • Extraction
  • Scaling and Root Planing
  • Scaling and Root Planing 
  • Arestin
  • Arestin 
  • Crown and Bridge 
  • Patient Self-Care Recommendation form 
• General Dental Information
  • Dry Mouth/Xerostomia
  • Dry Mouth/Xerostomia 
  • Gum Recession illustration 
  • Propylactic Cardiac Premed 
  • Joints Premed 
  • Instructions for Dental Infections
  • Instructions for Dental Infections 
  • Lichen Planus
  • Lichen Planus 
  • Sinus infection Instructions 
  • Smoking Cessation 
  • Cavity-Free Checkups 
  • Cold Sore Products 
  • Denture Cleaning 
  • Mouthwashes Without Alcohol 
  • Mouthwashes Without Sodium Laurel Sulfate preservative 
  • Toothpastes Without Sodium Laurel Sulfate 
  • Sugarfree Gum 
  • Sugarfree Cough Drops 
  • Dental Products containing Xylitol 
  • How To Have Cavity-Free Check-ups
• Administrative
  • Notice to Medicare Dental Patients 
  • Policy on No Shows and Cancellations 
  • Summary of Patient Record for patient transferring to new office 
  • Statement of Account Delinquency 
  • Refusal to Disclose Social Security Number 
  • Fee Estimate worksheet 
  • Procedure Routing Slip 
  • Medical Consultation Form 
  • Turn Off Mobile Phones sign for operatories 
  • Laser Danger warning sign 

Consent Forms

• Refusal of Recommended Treatment 
• Implants 1 
• Implants 2 
• Sinus Lift 
• Bone Graft 
• Gingival Augmentation 
• Periodontal Therapy 
• Scaling and Root Planing 1 
• Scaling and Root Planing 2 
• General Consent 1 
• General Consent 2 
• General Consent 3 
• Financial Liability Release 
• Photography Release 1 
• Photography Release 2 
• Apicoectomies and Apical Surgery 
• Bisphosphonate 
• Composite Fillings 
• Silver Amalgam Fillings 
• Amalgam Replacement 
• Crown and Bridge 
• Posts and Pins 
• Dentures 1 
• Dentures 2 
• TMJ Therapy 
• Splint Treatment 
• Occlusal Equilibration 
• Cosmetics 1 
• Cosmetics 2 
• Endodontics 1 
• Endodontics 2 
• Endodontics 3 
• Endodontics 4 
• Endodontics 5 
• Endodontics 6 
• Endodontics 7 
• Endodontics 8 
• Endodontics 9 
• Endodontics 10 
• Endodontics 11 
• Endodontics Retreatment 
• Pulpotomy 
• Orthodontics 1 
• Orthodontics 2 
• Oral Surgery 1 
• Oral Surgery 2 
• Oral Surgery 3 
• Oral Surgery 4 
• Oral Surgery 5 
• Oral Surgery 6 
• Oral Surgery 7 
• Oral Surgery 8 
• Oral Surgery 9 
• Oral Surgery 10 
• Oral Surgery 11 
• Oral Surgery 12 
• Extraction 1 
• Biopsy, including biopsy refusal 
• Periodontal Crown Lengthening Surgery 
• Nitrous Oxide 
• Nitrous Oxide 2 
• IV Sedation 1 
• IV Sedation 2 
• Photography Release
• X-ray Refusal Waiver of Liability 
• CT X-ray Scan 

Health History, Registration Forms

• Patient Information/Registration/Health Hx form #1 
• Patient Information/Registration/Health Hx form #2 
• Patient Information/Registration 3
• University of the Pacific forms in multiple languages 
  • English
  • Arabic
  • Chinese
  • French
  • German
  • Italian
  • Japanese
  • Korean
  • Polish
  • Russian
  • Spanish
  • Vietnamese
• University of Washington Medical and Dental History 
• Handle Me With Care sheet 

Clinical Charting Forms

• Insurance Narrative for Restorative Benefits 
• Insurance Narrative for Perio Surgery Benefits 
• Periodontal Chart, blank 
• Periodontal Chart 2, blank 
• Tooth Chart diagram, adult    -- for making your own form
• Tooth Chart diagram, child   -- for making your own form
• Charting Oral Pathologies 
• Charting extraoral head and neck pathologies 
• Charting intraoral and extraoral head and neck pathologies 
• Exam charting form, front 
• Exam charting form, back 
• Exam charting form (same as two above, but in one pdf file) 
• Exam charting form 2 
• Endodontics Exam/Treatment form 
• Radiographic Exam form 
• Recare Exam form 
• Perio Recall Report form 
• Treatment Plan worksheet 
• Treatment Plan worksheet with tooth chart 
• Treatment/Progress Notes 
• Periodontal Disease Report to customize for a patient 
• Periodontal Disease Report
• After Hours Patient Phone Call 
• Nitrous Oxide N2O Progress Note 
• Multi-Use Form

More free Dental Practice Management Free goodies:

Dr. O's Dental Consultant Management Downloads 

Dr. O's Dental Office Sample Letters

Dr. O's Dental Insurance and Coding Documents