Welcome to our practice!
We are honored that you have chosen to join our patient family!

We are committed to helping our patients achieve their dental goals. We do this daily by delivering professional care in an environment with nothing less than family-like hospitality. Our commitment to continuing education allows us to deliver this care without the stresses and discomforts that have been associated with dentistry in years past.

We work to have open communication with our patients and encourage all questions. We want you to feel at home and have all of the information you need to make your dental decisions. If at any time we do not meet all of your expectations, let us know. We want your feedback!

Below you will find the health history form that becomes a part of your permanent record. Please take your time and complete this at your convenience. This information is important to your care and overall experience. Please bring it with you to your appointment.

We are looking forward to seeing you at your appointment.

Sincerely,
The Muncie Plaza Dental Center Team

Downloadable Forms!

Please print and fill out the form below and return it to our office at the time of your appointment.

Download Health History Form

Downloadable Forms Require: