You can either download the form by clicking below, or you can arrive 15 minutes early for your first visit.
This new patient form gives our dentists the information they need to get a good sense of your dental health and your overall health.
At our dental office, we accept most types of dental insurance, including:
If you have any questions about the new patient form, please call our office, (719) 596-1011.
Please note: If you have dental insurance, please bring your dental insurance card and information to your first appointment
Prior to your first dental visit, we’ll need you to fill out a new patient form.
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