Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Registration
Health History

(Print & Complete All Forms Prior To First Office Visit) 

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Where to Find Us

Call: (812) 234-2669

1649 S 6th St
Terre Haute, Indiana 47802

Email: inquiry@LuttrellFamilyDentistry.com

1649 S 6th St|
Terre Haute, Indiana 47802

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