New Patients: 260-530-5489​
Current Patients: 260-469-3671

10435 Illinois Road Fort Wayne, IN 46814

Before Your First Visit

Click on the new patient form links to view our forms. These fillable forms can be emailed directly to our office. You can complete these comfortably and at your own pace at home. Then when you come to the office, you’ll be all ready to go, saving you time and ensuring you didn’t forget anything important.

Dental History

Medical History

HIPAA Form

Patient Info & Financial Policy Form