New Patient Information

As a new patient, being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. For your convenience, we have made the new patient forms available for you as PDF documents, which you can print out in advance and complete in the comfort of your own home (you should have a total of 4 forms). Please answer all fields and bring the completed paperwork along with you to your appointment.

 

 

Patient Registration Forms

 

 

 

 

 

 

 

Please arrive at least 10 minutes early for your first appointment.

 

If you have any problems printing these forms, please call our office and we will gladly mail or fax them to you.

 

Address:

2037 Church Street, Dyer, IN 46311

 

Phone:

T:  219.865.5040   F:  219.865.8383

 

Email:

 

Our mission is to offer patients the finest dental care and provide exceptional and prompt customer service.

 

 

 

Our Services

 

Diagnostics

Preventative

Implants

Dentures/Partials

Restorations

Periodontal Care

How we can help...

We offer a wide range of procedures to help you get the perfect smile.

 

  Request an appointment

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Address:

2037 Church Street,

          Dyer, IN 46311

 

Phone:

T:  219.865.5040

          F:  219.865.8383