Your first visit to Lukin Family Dentistry establishes a vital foundation for our relationship with you! During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. You'll find all the practical information you need, such as a forms, insurance, payment policies and more. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
In order to view or print these forms, you will need Adobe Acrobat Reader installed.
Click here to download it.
New Patient Form Instructions
Download the PDF form above, and SAVE it to your computer.*
* Please note that even though you may be able to fill out the PDF within a web browser we don’t recommend it unless you are proficient in how it works. We ask that you first save the PDF onto your computer, and then open that saved file using Adobe Reader. This will help ensure that your answers are saved properly.
Open the document with Adobe Reader and complete the form to the best of your ability.
To RESAVE the completed form, choose File > Save As, and rename the file. For easy access save it on your desktop and email the form back to us at [email protected].