New Patient Forms
Thank you for choosing us for your entire families dental needs!
We realize you could go anywhere for your dental needs, and we are excited you chose us! We are now GREEN! We are now paperless! We feel this is the journey God put us on, to touch the lives of as many people as we can.
You can have a beautiful smile, even if it's been a while. We will never judge you or make you feel ashamed. As we to are real people and we understand how important your smile is. A beautiful smile can change your life. Are you ready for a life change?
You will need to provide dental & medical cards before your first visit in order for you to receive the maximum benefits of your insurance.
The best possible care for our patients is our number one goal, so it's important that we know about you and your health history.
We value our patients as well as their privacy and guarantee that any information shared is strictly confidential.
We welcome emergency and new patients. We are here for you and understand that emergencies can arise out of no where.
Daniel A. Nickles, DMD