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1706 Williamsburg Dr. Jeffersonville, IN 47130
  • About Us
    • Meet the Doctors
      • Dr. Michael Kirchner
      • Dr. Alexa Walden French
      • Dr. Shannon Johnson
    • Meet the Team
    • Why Choose Us
    • Tour Our Office
    • Community Involvement
    • FAQ
    • Careers
    • Accelerated Dental Assisting Academy
  • Our Services
    • General Dentistry
      • Athletic Mouthguards
      • Nonsurgical Gum Disease Treatment
    • Dental Emergencies
    • Family Dentistry
      • Pediatric Dentistry
    • Relieving Dental Anxiety
      • The Wand™
      • Dental Sedation
    • Cosmetic Dentistry
      • Dental Veneers
      • Teeth Whitening
      • Cosmetic Dentures
    • Invisalign
    • Orthodontics
      • Preventive Orthodontics
    • Restorative Dentistry
      • Root Canals
      • Dental Crowns & Bridges
    • Full-Mouth Reconstruction
      • Dental Implants
      • Teeth in a Day
      • Dentures
    • Oral Surgery
    • TMJ Treatment / Teeth Grinding
    • Sleep Apnea Treatment
      • Home Sleep Test
      • Oral Appliance
    • Reconstructive Dentures
    • Preventive Dentistry
    • The Importance of X-rays
  • Testimonials
    • Smile Gallery
  • New Patients
    • New Patient Forms
    • Payment Options
    • Dental Insurance
  • Specials and Promotions
  • Blog
  • COVID-19 Protocols
  • Search
New Patient Forms

 

Schedule A Visit With A Patient-Centered Dentist.

812-913-6093 Schedule Online
Home > New Patients > New Patient Forms

Download New Patient Forms So Your First Visit Is Easier

Paperwork is a fact in our modern world. Even in a digital age, there are still forms that need to be completed and signed for almost everything these days. That’s true of any dental office as well. But to help make your first visit easier, you can download and complete our new patient forms at your home. Just don’t forget them!

If you are ready to make an appointment, or if you have any questions about dental treatments you need, call us at 812-913-6093 or fill out our online form.

  • New Patient Form
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Schedule Online
1706 Williamsburg Dr. Jeffersonville, IN 47130
  • Mon: 8:00 AM - 7:00 PM
  • Tue: 8:00 AM - 5:00 PM
  • Wed: 8:00 AM - 5:00 PM
  • Thu: 7:00 AM - 4:00 PM
  • Fri: 7:00 AM - 3:00 PM
  • Sat: Closed
  • Sun: Closed
Call Today to Make an Appointment 812-913-6093 Schedule Online

Locations

1706 Williamsburg Dr. Jeffersonville, IN 47130

Office Hours

  • Monday 8:00 AM - 7:00 PM
  • Tuesday 8:00 AM - 5:00 PM
  • Wednesday 8:00 AM - 5:00 PM
  • Thursday 7:00 AM - 4:00 PM
  • Friday 7:00 AM - 3:00 PM
  • Saturday Closed
  • Sunday Closed

Latest Blog Articles

Whiten Your Teeth To Wow Your Valentine!

You remember the early days of your relationship when you first fell in love? Remember how you felt on top of the ...

Read More
Start This Habit Today For Better Dental Health!

New Year’s resolutions are hard to follow through with if they involve drastic changes to your lifestyle. You have ...

Read More
Call Today to Make an Appointment 812-913-6093 Schedule Online

Locations

1706 Williamsburg Dr. Jeffersonville, IN 47130

Office Hours

  • Monday 8:00 AM - 7:00 PM
  • Tuesday 8:00 AM - 5:00 PM
  • Wednesday 8:00 AM - 5:00 PM
  • Thursday 7:00 AM - 4:00 PM
  • Friday 7:00 AM - 3:00 PM
  • Saturday Closed
  • Sunday Closed

Latest Blog Articles

Whiten Your Teeth To Wow Your Valentine!

You remember the early days of your relationship when you first fell in love? Remember how you felt on top of the ...

Read More
Start This Habit Today For Better Dental Health!

New Year’s resolutions are hard to follow through with if they involve drastic changes to your lifestyle. You have ...

Read More
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