Patient Forms

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 Lutke Dental 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 FORMSNOTICE OF PRIVACY PRACTICES

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Plano, TX

5045 Lorimar Dr #110, Plano, TX 75093

Email: keri@dental-solutions.com

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Office Hours

  • MON - THU8:00 am - 5:00 pm
  • FRIBy appointments only
  • SAT - SUNClosed
(972) 378-4141
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