Contact Us:
128 Lakeview Drive
Noblesville, Indiana 46060

Phone: 317-773-3617
Fax: 317-773-2360

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New Patient Forms






DENTAL TIP:
Children should be seen by a pediatric dentist around age one. Prevention is the best way to avoid cavities! NEVER put a child to bed with a bottle or sippy cup!

 

 

 


 


We are currently accepting new patients, and it would be an honor to serve you! Patients are seen by appointment only, so please call in advance and reserve a time for your child with our staff. If you would like to schedule an appointment, please feel free to call our office at 317-773-3617, and we will gladly dedicate a special time for you to meet with Dr. Forgey or Dr. Hazelrigg for a consultation. We make every effort to be on time for our patients, and we realize that your time is as important as ours. Therefore, we ask that you extend that same courtesy to us.

If, for some reason, you cannot keep your scheduled appointment or will be delayed, please call us as soon as possible. No charge will be made for rescheduled appointments provided at least 24 hours notice is given. This will allow the time reserved for your child to be made available to other patients. If you have a personal emergency, please let us know as soon as possible.

We are looking forward to having your child as a patient. Teamwork among the patient, parent and doctor is essential for excellence in dental care. We anticipate this from you and your child, and it is our goal to render the best dental care available. We would appreciate your discussing any questions or concerns with us at any time. Feel free to call our office at any time, and we will be glad to be of service in any way we can.

In preparation for your child’s first visit at our office we would recommend trying to make dental visits an important adventure for you child. Tell him/her the dentist is a friendly doctor who will help him/her keep their teeth and mouth healthy. Talk about the visit in a positive, matter-of-fact way as you would any new experience. A good first trip will help mold your child’s feelings for many years.

We have made our forms available to you online. The form below MUST be completed prior to meeting with Dr. Forgey or Dr. Hazelrigg at your child’s first dental visit. To save time at your first appointment, we would appreciate it if you would print the forms, complete them, and bring them with you at your child’s first dental appointment. By doing this, time will be saved at your first visit

Medical History, Treatment and Financial Consent Form
(PDF version, Word version)

Pre-medication Needs:
Certain medical conditions require an antibiotic to be taken prior to dental care. If your child’s physician has informed you that pre-medication is required, please let us know. We adhere to the American Heart Association guidelines for pre-medication and want to provide the precautions necessary for each child’s specific health care needs.




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