Patient Forms

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 and West Omaha.

Other Online Patient Forms

Sleep Screening Consultation
TMD Screening Consultation
OMT Doctor Referral Form
OMT Child Questionnaire
OMT Adult Questionnaire

Other Links

Oral Surgery/Implant
Periodontal Questionnaire and Exam
Orthodontic Questionnaire and Exam