Fill out these forms:

Patient Intake

We prefer you use the LINK you receive via text to fill out all new patient forms as soon as you can.

However, you can fill out the forms above and submit them

As long as you have submitted the forms above we can help you anticipate any insurance coverage.

Insurance can be confusing. We are here to help. It’s what we do. Call us at 419-238-4385.

We want to get to know YOU. We listen to your concerns and needs. We know it’s not easy for everyone to come to the dentist. We want to be your new dental HOME where you can feel comfortable addressing and achieving your oral health needs. We take pride in taking care of our patients like they are our family. You can trust that we will recommend only the treatment that you need and is best for you.

We are here to help make this dental experience the best you have ever had. We hope to become part of your family and to assist with your oral health needs for many years to come.