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)