Patient Forms

You can print and fill out the Patient Information Form and the Medical/Dental History Form and bring them with you to your first appointment. We look forward to meeting you!  

We look forward to meeting you and your youngster at your first appointment.

If you’re unable to open PDF files, you can get Adobe Reader® for free.

(740) 653-8671 208 North Columbus St., Lancaster, OH 43130 Request an Appointment
Office Hours Monday — Wednesday
8:00am to 5:00pm
Thursday
8:00am to 3:00pm