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Patient Forms

When you schedule an appointment with Indy East Periodontics, we will obtain your email address.  An email will be sent with a link.  When the link is selected, you will be directed to our patient forms.  Once completed, you will submit, and the forms will auto load to our system!

If you prefer to complete the forms from our website, please click on the link below.

New Patient Paperwork


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

We Accept all insurances, and are prefered providers for:

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 115 N Shortridge Rd, Ste 100
Indianapolis, IN 46219
(317) 357-2235