Serving Ames, ISU & Central Iowa Communities

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Dentistry At Somerset

New Patient Forms – Please Schedule Before Completing


New Patient Forms | Dentistry At Somerset

Before completing the new patient forms, please give us a call at 515-446-3792 to schedule your appointment, or go to the red button at the top right corner of our home page that says “Click to Schedule.”

Below you will find our New Patient Forms. This information is needed before your first appointment. If you are able to complete these forms online before you come in for your appointment you will save yourself some time. All forms are submitted directly to our office through our secure site. If you have any questions while completing these forms, give us a call at 515-446-3792. If you’d prefer to print the forms at home and handwrite them, please request the forms by emailing us at smile@dentistryatsomerset.com.

New Patient Registration

Dental History

Health History

If you have recent X-rays (within the past year) or other relevant information from your previous dentist that you would like us to have, please complete our Records Release Form.

Records Release

In order to get files in time for your appointment we’ll need this form at least one week in advance of your scheduled appointment.