Patient Forms

To provide you with the most efficient new patient experience, please complete the forms below and bring them to your first appointment. Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems completing the forms, please contact our office.

Visit Our Norfolk Dental Office

Norfolk Location

513 South 13th Street,
Norfolk, NE 68701

(402) 379-2775

Our Dental News

Are You at Risk for Hairy Tongue? | Norfolk NE Dentist

You may not realize it, but you could be at risk of developing an unsightly medical condition known as hairy tongue. While it is harmless in most cases, hairy tongue is still an unpleasant ailment. The causes are not always […]

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Biting Off More than You Can Chew? | Norfolk NE Dentist

It is not uncommon for many of us to grab a bite to eat in a hurry. Americans have grown accustomed to bigger food portions at restaurants, but our mouths have not. Trying to fit that oversized sandwich or apple […]

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Filling in the Gaps: Your Options for Missing Teeth | Norfolk NE Dentist

Are you embarrassed to show your smile because of missing teeth? For many people, missing teeth can create a feeling of diminished self-confidence. Modern dentistry can not only replace the gaps in your smile, our team can also create long-term […]

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