Fleischmann Family Dentistry
Drs. David and Brooke Fleischmann

New Patient Forms

To streamline and save time at your first visit with our office, we ask that complete ALL FOUR forms below prior to your visit.  The completed forms can either be printed and brought with you or you are welcome to fill them out and email them as an attachment.  If you are choosing the email option, you will need to save the original documents to your computer, open them up and fill them out, save again and then attach them to your email.

If you are unable to print or email these forms, please arrive at your appointment 15 minutes prior to your appointment time.


Our email:  [email protected] 

Thank you, see you at your appointment.