Please Download, Review, and fill out all new patient forms prior to your first appointment
Please bring the following three forms to your first appointment
- The Health History
- Written Financial Policy
- Consent for Use and Disclosure of Health Information
Authorization for Release of Dental Records
- Please send us a signed copy of this form 48 hours prior to your appointment
- You may email us a picture of the form, scan the form and email us a PDF, deliver it by mail, or drop it off in person
- This form allows us to obtain current x-rays from your prior dentist.
- If we do not receive this form 48 hours prior to your appointment, you may be required to pay for new x-rays out of pocket.
Downloadable Patient Forms
Need to make an appointment?
Click below to schedule one online:
Or Call us at:
507-387-2603 1550 East Adams Street Mankato, MN 56001