Adult Registration

Follow these steps in order to register an adult patient. Feel free to contact us with any questions, call our office at 812-738-2166. If you haven’t scheduled your appointment yet, Jamie from our office will be in touch with you as soon as your forms are submitted. If you have already scheduled your appointment, we look forward to seeing you soon!

Step 1: New Patient Registration Form

Step 2: New Patient Dental & Medical History Form