German Church Road Family Dentistry

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

New Patient Form 1

New Patient Form 2

Medical History

Notice of Privacy Policy

Consent for Use and Disclosure

Oral Health Risk Factors

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (317) 898-9231
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