For Your Lexington Dentist Appointment

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:

 

Child Health History Forms

Adult Health History Forms

Records Release Form

 

 

 

 

Appointment request
Need an appointment with a dentist in Lexington ? Requesting an appointment at our Lexington, KY family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments