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Call: (573) 346-7278

Patient Forms

Patient Forms for Camdenton Dentistry ~ Lake Dental Clinic

Patients are seen on an appointment basis, and we reserve time specifically with you and the doctor or hygienist. We ask that you complete an online appointment request or call (573) 346-7278 in advance so that we may reserve an appointment time for you.

If you are a new patient to our office, the link below contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing forms, 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 contact our office if you have any questions at all. (CLICK HERE) or on link below to download forms.

Patient Forms

Dental Financing - "Treatments Today Payments Tomorrow"
For patients wihtout dental insurance we do offer dental financing through CareCredit® & the Citi® Health Card. You can visit our Dental Financing page for more information or download, print and complete an application for dental financing by clicking on either of the links below.    

CareCredit® Dental Financing ApplicationDownload, Print, Complete and bring to next appointment

Citi® Health Card Dental Financing - Download, Print, Complete and bring to next appointment


This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


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