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Patrick Briese Dentistry

New Patient Forms

Your First Visit

Our goal is to provide all our patients with outstanding service and quality dentistry. We also understand and respect our patients’ time. New patients are encouraged to download and fill out all new patient paperwork prior to their arrival. All forms are available on this site. We ask that all new patients complete the paperwork and bring it with them to our office. By doing so, your wait time should be reduced.

Dr. Briese believes in a preventative and comprehensive approach to dentistry. All new patients can expect to meet Dr. Briese on their first visit. Once a thorough exam is performed, treatment options will be presented. Most new patients do not have their teeth cleaned in the first visit. If this presents a major inconvenience, special arrangements can be made. Please contact our office if you have any concerns.

**Important– if you have trouble downloading the forms, please make sure that your Java and your browser is up to date**

Financial and Insurance Form

General Consent Form

HIPAA Patient Consent Form

Medical and Dental History Form

Membership Plan and Guidelines

For more information on our Membership Plan and Guidelines, please download our information packet.

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (337) 334-3724
View the ADA Accessibility Statement
You don't need insurance to come here. We sell in-house membership plans.