We are happy to use our expertise to restore the functionality and beauty of your smile. Whether you have a tooth that needs to be extracted, or dental implants that need to be placed, we are here to help. Please contact us today to schedule a consultation.
You can submit the form online or download it by selecting click here option and submit the same at the time of your dental visit.
Patient Registration FormADULT REGISTRATION FORM
These Patient Information and Health History forms are provided for your convenience to print out and complete at home in advance. Completing these forms at home can not only save you a lot of time but it helps us to stay on time (for you and others)
Patient Registration FormPATIENT REGISTRATION FORM
Health History FormHEALTH HISTORY FORM
Privacy PracticesREGISTRATION FORM
HIPPA Authorization For Use And Disclosure Of Protected Health Information HIPPA AuthorizationHIPPA AUTHORIZATION
Considered an authority in wisdom tooth extraction, Dr. Grellner can provide both accurate treatment and sound advice on affording the procedure. If you or your child needs wisdom teeth removed, contact our practice today to set up an appointment and discuss your financing options.