Dentist in the St. Louis Area

Patient Forms

In order for the doctors and staff to be fully prepared for your visit, we require that you have your new patient forms completed 24 hours before your first visit. This can be done by filling out our online HIPAA compliant forms below and clicking submit. If we do not have your paperwork in advance of the appointment, we will not be able to see the patients.

Online Adult New Patient Form

Online Child New Patient Form

If you would prefer, you can download the files and fill them out by hand. These will need to be faxed, mailed, or dropped off 24 hours in advance of your appointment.

Downloadable PDF Adult Form

Downloadable PDF Child Form

In either case, please have your insurance card available when you come in.

New Patients Welcome! Call (314) 207-3989