Dental Fear Worksheets and Letters to Dentist
The forms on this page can help you pinpoint your fears and let your dentist know about them.
They are free to use by anyone, including dental practices.
Dental Fears Patient Form
You can attach this questionnaire when emailing potential dentists, or bring it along to the first get-to-know-you meeting.
It covers your concerns, your previous experiences, and things you think might help.
Sample email to dentists
Once you are at a stage where you want to make contact with dentists in your area, you can edit (or totally change!) the following sample email:
You may also like to attach the Dental Fears Patient Form above. If you like, you can add things you may be too embarrassed or nervous to say in person using this form: