Call: (269) 423-7866

Patient Forms

If you are a new patient to our office, the attached files contain our new patient forms that will need to be filled out when you arrive at our Decatur dental office. Printing them, filling them out and bringing them with you will allow us to attend to you more quickly than completing them on your arrival. Thank you and please call our office at (269) 423-7866 should you have any questions at all.


Patient Information and Medical History

Notice of Privacy Practices

Financial Policy

Office Policy