New Patient Forms

So Much Information, So Little Time. Looking for a good starting place? Click the title above and learn all about what you should be looking for in a smile and even a range of what you might expect to pay.

Patient Survey. Let us know what you think. Here is an easy and convenient way to share your experience with us.

Patient Forms. We know what it's like to spend the first 30 minutes as a new patient trying to remember everything we need to know about you. Try this instead. Click the link above, print out our forms and fill them out in the convenience of your home.

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

New Patient Form

Help Us To Help You Sooner and Better

Download Adobe Acrobat Reader Now

144 Coolidge Blvd. Suite D • Lafayette, LA 70503
Phone (337) 234-3551 • Fax (337) 234-5389