Our patient forms have been made available online to download and fill out at your convenience. If you have any questions, don’t hesitate to give us a call at (270) 228-2257, or email us using the contact form on this page.
Download — Patient Information (PDF)
Download — Dental & Medical History (PDF)
Download — Authorization/Release (PDF)
Download — Financial Guidelines (PDF)
Download — Notice of Privacy Practices Acknowledgement (PDF)