Patient Info/Clubhouse Pediatric Dentistry
Patient Forms
Patient Info
Let's Get Your Paperwork Ready Early
Reach out ahead of time and our team will help you get paperwork ready before your visit.
Getting Ready for Your Visit
New Patient Paperwork
When you arrive for your child's first visit, our front desk team will help you complete any new patient paperwork — including insurance details and household health history. If you'd like to fill it out ahead of time, call your local Clubhouse office and we'll be glad to help you get started.
Contact Your Clubhouse OfficeWhy Families Rate Us Five Stars
Great staff and service. Dr. Jackson always makes my daughter feel comfortable right out of the gate and makes it a great experience for her.
We went to Clubhouse Pediatric Dentistry and are so impressed with this office. The staff here is exceptional. Dr. Jackson did so well making it a fun experience for our little boy. We will definitely return here for any more dental work for our little guy.
We met with him at his Rexburg location and I honestly have never seen a better pediatric dentist. My child has autism and it's not always easy finding someone who can cater to all needs of children. He was amazing. I told him my child's needs and he reassured me that all children are welcome and that he has lots of experience with kids on the spectrum. The office is super nice and obviously very family friendly.
100% recommend! They are amazing with the kids, super nice, and always have a good vibe when coming in. My children never complain about going.
The staff is very friendly and professional.
Dr. Jackson and his group are so good at what they do. They make my two kids so comfortable. My oldest has a sensitive gag reflex and Dr. Jackson is very understanding of him and conveys that to his staff as well. He followed up with us to ensure our child was okay after the appointment. He also is great at explaining any work we might need or anything forthcoming in the future.