Patient Forms

We are excited to have you as a new patient! To make your first visit go as smoothly as possible, please download, print and fill out the applicable forms below and have them filled out and ready to hand to us as you sign in for your appointment! We look forward to meeting you and helping make your beautiful smile the talk of the town!

New Patient Forms

Health History Forms

Financial Policy

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

Our Office


Indianapolis

9168 Otis Ave,
Indianapolis, Indiana 46216
(317) 543-4195
(317) 543-4545
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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.