Dental Care That's Right For You
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New Patient Forms

We ask each new patient to complete the forms below at their first visit. Please feel free to complete these forms and bring them with you to your first appointment.

New Patient Health History Form

New Patient Registration Form

New Patient Dental History Form


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Our business staff will see that you feel relaxed and at-home in our office. Our Patient Relations Coordinator will help you complete your new patient paperwork and answer any questions you may have.

Dentistry at Somerset
Dr. Paul Readhead / Dr. Jason Niegsch
2720 Stange Road / Somerset Village / Ames, IA 50010
(p) 515/268-0516 or 877/232-4994