Forms

New Patient Forms

Click on the link below to fill out new patient forms. Please ensure that all forms are filled out, signed, and submitted.

Release of Records

Please fill out this form to request that your dental records be transferred from your previous dentist.

New Patient General Checkup Appointments

If you are interested in scheduling a general checkup appointment with us online, please use the link below.

Consent To Treat Minor Without Parent Present

Please fill out this form if someone other than the parent/legal guardian will be accompanying your minor child to their dental appointment.

Looking for a new dentist?

We can help! Contact us today to request an appointment and to learn more about our practice.

At Lafayette Dental Associates, you will encounter a warm and compassionate team who always has time to answer questions, share a laugh, and catch up on the latest. Our patients are like family.