Challgren Dentistry

New Patient Forms

Save time waiting in our office by filling out your new patient form before your first visit. Download a printable PDF form by clicking on the links below.  Adult forms are for individuals 13 and over. Child forms are for those 12 and under. Feel free to give us a call if you have any questions.

Our HIPAA privacy policy is also available for you to review.

If you have difficulty using our website, please email us or call us at (765) 446-9606
View the ADA Accessibility Statement