Granger, IN Dentist (574) 277-4235

Patient Forms

Thank you for choosing our office, we are excited to meet you.  To make things more efficient during your initial visit, please help us by filling out the two forms below.


Your first visit establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  Our dentists and staff will be performing a variety of services in order to assist in providing you with the best care possible.

First Visit/Patient Forms

These services include a one-on-one patient interview with the dentist, medical history review, complete set of dental x-rays, a thorough examination, and recommendation on necessary cleaning. After the exam, the dentist will inform you of any existing problems, and provide you with appropriate treatment options, as well as answer all of your questions concerning your dental health. On average, this appointment takes approximately an hour and a half.

Current Patients

We require all medical history and patient information to be updated every two years.  If our office has informed you that an update is required, please print out the form below and fill this out prior to your appointment.  Thank you.