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Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC

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

We Accept all insurances, and are prefered providers for:

cigna dental plans that save you money anthem blue cross blue shield metlife dental insurance delta dental insurance aetna dental insurance
 
american dental association americas leading advocate for oral health american association of periodontology american association of periodontology indiana dental association
Brittany A Lane, DDS, MSD Stephen C Koehler, DDS, MSD 115 N Shortridge Rd, Ste 100
Indianapolis, IN 46219
(317) 357-2235