New Patient Forms

Our New Patient Forms are now online!

Prior to your first appointment, please complete and submit the new patient form through our link below.

Our form is easily completed using your keyboard and mouse.  Once finished, you will simply click “submit” and the information you provided will be sent directly to our office.  There is no need to print this form.

Please contact us at or 614-875-3141 if you need assistance or have questions.

Free Whitening for Life
Schedule your new patient appointment and receive free whitening for life*! Refer a friend or family member for free whitening, as well.
Learn More
New Patient Forms
Complete our new patient forms here. They submit directly to our patient records system so you don’t have to print!
Complete Forms
Dental Wellness Plan
No insurance? Participate in our Dental Wellness Plan. We want to make comprehensive dental care affordable for all families.
Sign Up
Schedule Now
We offer convenient hours for your schedule.
Mon – Thur7AM – 5PM
Fri7AM – 2PM