Don't settle, you should love your dental office.
We are accepting new patients and we always do our best to get you in as quickly as possible. Thank you for choosing Riverbend Dentistry!
Patient Forms
Completed forms may be brought to your appointment, emailed, or faxed to us. If you forget to complete your forms, no problem, just arrive 15-20 minutes before your reserved appointment time.
Our fax number is: 573.635.5359 - Attn: Amy
New patient forms:
Welcome to Riverbend Dentistry! Please bring the New Patient Enrollment form as well as the Consent to Perform Dentistry with you to your first appointment. Don't forget your insurance card and policy holder information (date of birth and SSN), if applicable.
- Welcome Letter
- New Patient Enrollment - Complete and bring with you.
- Consent to Perform Dentistry - Complete and bring with you.
- HIPAA
- Dental Wellness Membership - Optional program for self-pay patients.
- Office Policies
- Record Release
CURRENT PATIENT FORMS:
