New Patient Forms

For your convenience and to help make make your dental office visit with us efficient please download the New Patient forms, Insurance and Financial Policy form, and Privacy form all found below and bring them with you completed and signed. These forms require Adobe Acrobat. You can get Adobe Acrobat here.

Click to view and download the first 3 sets of forms below that are underlined. The first set of new patient forms can either be filled in on the computer or by hand. The other 2 sets of forms will need to be printed.

1. New Patient Forms

2. Insurance and Financial Policy Form

3. Privacy Practices Acknowledgement Form

4. Privacy Policy – Please read and acknowledge in the above acknowledgement form.

To: Lifetime Dental

Dear Dr. Hatcher,
interested in scheduling an appointment with you
and would like to receive information about
Please
at your earliest convenience.

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Lifetime Dental

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Phone: (830) 249-9300