Phone: 740-369-4550
665 W Central Ave, Delaware, Ohio 43015

NEW PATIENTS

Our office is always welcome to new patients of all ages, stages and dental care needs. We will be delighted to welcome you and your family into our practice and hope you will find your dental home with us.

To help you prepare for your first appointment in our office, you can find all new patient forms below. Please print and complete the appropriate forms to bring with you to your appointment. No printer? No problem! Most of our forms are now also available online! Click here to fill out our online forms.

*The tongue/lip tie evaluation forms are not currently available to complete online. If you are coming for this type of appointment, you will still need to print the questionnaire, either by printing or when you arrive to the office.

If you have any questions about the forms or your upcoming appointment, please call us to speak with one of our friendly staff members. 740-369-4550

We look forward to seeing your smile!

For regular dental patients:
Adult Dental Patient Registration & Medical History
Child Dental Patient Registration & Medical History
Financial Policy and HIPAA

For our tongue and lip-tie services:
Child/Infant Patient Registration & Medical History
Infant Questionnaire (required for all infant tongue/lip tie consultations)Oral Function Questionnaire (for all tongue/lip tie patients over age 2)
Financial Policy and HIPAA for Tongue/Lip Tie Appointments

For ALF Initial Consultations:
PATIENT REGISTRATION AND MEDICAL HISTORYALF EVALUATION FORMFinancial Policy and HIPAA
Phone: 740-369-4550
665 W Central Ave, Delaware, Ohio 43015