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Patient Forms

In an effort to make your visit as efficient and timely as possible, we suggest you bring this necessary information completed to your first visit. We understand, “paper work” is the bane of medical care!

We try to minimize this effort on your part, but need to become familiar and confident with your background, medically and dentally, to provide appropriate care. Completing this now, and faxing (317-885-0715) or mailing it prior to your appointment will streamline your visit! If you don’t want to fax, be sure to bring it with you to the appointment.

We look forward to seeing you!

Download or click to access patient forms using the links below:


Indianapolis Dentistry

We look forward to seeing you!