(402) 489.7806


Office Forms

Please print and fill out the Health History and Office Policy forms and return them to us before your appointment. Also include a copy of your insurance card with the forms. This will make the appointment process go as smooth as possible for you, so you can focus on the end result – having a bright, healthy smile!

Adult Health History

Click Here to Download the Adult Health History Form.

Child Health History

Click Here to Download the Child Health History Form.

Office Policy

Click Here to Download the Office Policy Form.

You may send the forms to us by mail, email or fax.
If you have any questions, click here to contact us or call our office at 402.489.7806.

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