Patient Forms

We encourage patients to fill out the Dental History form below and bring them with you for your appointment. By filling out these forms ahead of time, you will save a significant amount of time during your visit.

Click here to view our updated Patient Form PDF

Get in Touch With Us

Quick Contact

  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.


7205 Engle Rd. Fort Wayne , IN 46804 | Get Directions
Phone: 260.432.8700