Patient Forms


We Are Dedicated to Minimizing Your Wait Time

To save some time on the first appointment, please fill out our patient forms at home. Download and print our patient forms here. If you have any questions, please feel free to call our office at 1-765-473-9336. Thank you and we look forward to seeing you soon.

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We welcome you and your family to experience state-of-the-art dentistry, excellent clinical care, and superb customer service. Call our Peru Office at (765) 473-9336 if you have any other questions or would like to schedule an appointment. Our Peru Dental Office is conveniently located for patients across from Peru High School in Peru Indiana . We welcome the opportunity to give you a Smile-for-Life!

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