Patient Information Form

HIPPA Consent Form

Payment and Insurance

Office Tour

Patient Information Form

We ask that all new patients complete this form.
Please arrive to your appointment 15 minutes early so that we may have time to enter your information into your file before you are seen. Thank you and we are looking forward to serving you.

Click here to download the Patient Information Form. Complete the form, save it to your computer, then email it to Lykins Family Dentistry at lykinsfamilydentistry@yahoo.com or print it and bring it with you for your first visit.
Adobe Acrobat is necessary to complete this form.

Download Adobe Acrobat.