Welcome to the Family


Thank you for your interest in joining our dental family! To become a patient at our office, please follow the link below.


•First Name

•Last Name

•Today’s date for appointment date

Please fill out the new patient form and medical history form. Upon completion of your paperwork, our new patient coordinator will reach out to you. If you have any questions, please call our office at 812-423-6113.

New Patient Form