New Patient Forms

To help make your life easier, we’ve provided our new patients forms online so you can fill them out before your visit! Please arrive at least 15 minutes before your scheduled appointment to ensure that all of your paperwork is in order, and so we can address all of your questions and concerns before your consultation.

Download Forms:

privacy-practice-form medical-history-form communication/authorization form dimples-general-form

Patient Registration Form

After you’ve filled out the forms, schedule your consultation by calling Dimples Family Dentistry in Norwalk, IA, today at 515-256-1176.