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Appointment Today

765-742-3100

Emergencies Welcome & Evening Hours Available


New Patient Forms

New Patients

Thank you for choosing Comfort Dental. We welcome you to our Dental Office.

Please arrive 30 minutes prior to your scheduled appointment time to complete the registration forms.

OR

To speed up the registation process, you are encouraged to print and complete the following forms & either:
  • Bring forms with you to your first appointment
  • Fax forms to 765.742.0152 before your appointment
  • Select the links below to open and print each form.

    Patient Information Form
    Dental Consent and Policy Form
    Consent and Disclosure
    Comfort Dental Privacy Policy

    Comfort Dental, 3711 Rome Drive, Lafayette, IN 47905 765-742-3100  Fax 765-742-0152