Patient Forms

We are delighted to welcome you to our practice and thank you for choosing us as your dental team! We strive to provide our patients with the highest quality dentistry tailored to the patient’s desires in a warm and caring environment. We are committed to excellence and providing you the highest level of dental care at reasonable fees. Our goal is to help you have a beautiful, healthy smile that makes you feel and look great. We believe that every patient deserves complete information and control over the choices they have in dentistry today to achieve their lifetime strategy for dental health. The way we begin that care is to provide a comprehensive evaluation.


Download: New Patient Forms


During your first appointment, a thorough oral evaluation will be completed. This will include radiographs and other diagnostic aids necessary to determine indicated dental treatment. Radiographs are an extremely important part of this comprehensive evaluation, without them, a proper diagnosis cannot be made. If you have been to another dental provider within the last year and radiographs were taken, we ask you to bring these current x-rays with you to your initial appointment. Please do not mail them. If you do not bring them, or they are not of adequate quality, new radiographs will be taken at the initial appointment in order to provide you with a proper diagnosis.

After your comprehensive evaluation, you will receive a thorough explanation of our diagnostic findings and then we may reserve time for a personalized consultation to discuss your treatment options as necessary. We will work with you to reserve any necessary appointments and make appropriate financial arrangements.

Ready to achieve smile perfection? Fill out the New Patient Form above! We’ll be happy to set up a consultation at one of our two conveniently located dental offices in Council Bluffs or Carter Lake.


Other Online Patient Forms

Sleep Screening Consultation

TMD Screening Consultation

Other Links

Oral Surgery/Implant

Periodontal Questionnaire and Exam

Orthodontic Questionnaire and Exam

Get in touch with us today!

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Have you been wanting to transform your smile?

(or just need quick way to schedule a checkup)