Prairie Lakes Dental


When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office. If you’d like to get started with your paperwork, you can fill out and submit the form below.

Your initial exam will last approximately an hour and a half. Oral hygiene instructions will be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit and provide an evaluation that will outline your existing dental problems and proposed treatment.

Please complete the New Patient online form and submit it to us before your first appointment. This is a fillable form and you will need Acrobat Reader or similar PDF reader to be able to fill it out. Get Acrobat Reader here.

  1. Save this document to your computer.
  2. Open the PDF document in a PDF Reader and fill out the fields with your keyboard.
  3. Print and bring the form to us or attach the form to our make an appointment online form and send to us.
  4. Save the filled out form to your computer for reference.