Please complete our patient forms in order to make your check-in process quick and easy. We are going paperless so your cooperation is greatly appreciated.

Our questionnaire consists of 7 documents. To complete a document, simply enter and submit the requested information. While most fields are optional, some may be required and are marked with an asterisk (*). Please do not use your browser’s back or forward buttons, as they may undo or redo your recent actions and result in errors.

The information you submit is encrypted for your protection and will be transmitted securely to our office.

If you have questions at any time, please call our office at 5122637896 or send us an email at info@lakepointedental.com .

PATIENT INFORMATION

MEDICAL HISTORY

DENTAL HISTORY

INSURANCE INFORMATION

FINANCIAL POLICY

AUTHORITIONS & ACKNOWLEDGEMENTS

COMMUNICATIONS RELEASE