Patient Forms

new patient forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

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(866) 821-1407

General Info: (417) 883-2214

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Springfield Dental Care

Appointments:
(866) 821-1407

Make an Appointment Now!

Jerry R Fankhauser, DDS

1200 East Woodhurst Drive H-100
Springfield, MO 65804

General Info: (417) 883-2214

Map & Hours

Jerry R Fankhauser DDS