Patient Forms
Please print out each of these forms, fill them out and fax them to our office at (502) 894-9044. If you do not have access to a fax machine, please be sure to bring them with you on your first visit.
I'm really pleased with my new teeth! My Custom Dentures let me enjoy foods I haven't been able to eat in years. They fit comfortably and I can smile without the fear of embarrassment of loose dentures.Vance Bacon, patient
Please print out each of these forms, fill them out and fax them to our office at (502) 894-9044. If you do not have access to a fax machine, please be sure to bring them with you on your first visit.