Call (402) 643-2931

Please fill our our new patient forms at least 24 hours prior to your first appointment

or if any information has changed since your last visit with us

New patients please fill out all 5 of the new patient forms linked below. 

Medical History Form

Patient Information Form

Policies and HIPAA Form

Insurance Form

Smile Assessment

 

 

 

If you are having trouble with the above links, you can print forms here AND Here.  If you must print the forms please drop them off at the office at least 24 hours prior to your appointment.

 

 

 

 

READY FOR THE NEXT LEVEL OF DENTAL CARE? CALL (402) 643-2931 TODAY!

“After struggling with my Dentist for years, I finally made the switch about a year ago and I couldn’t be happier! Everyone is so pleasant and helpful! Keep up the great work! Making your patients feel important and special means so much!”

~Kathy E.

“I had a wonderful visit! The staff was amazing and great to work with. I felt as though they were all very honest and trustworthy and explained everything to me that was going on. They seemed to have up to date technology and truly made it a great experience. I’ll be making this the place where my family goes.”

~Dillan R.

All excellent! Staff very friendly, excellent work. concerned with patient comfort, very good at explaining all procedures, spends quality time with patients. pleasant environment, clean and cheerful. Recommend to all my friends and wouldn’t go any where else!

~Pamela P.