We Warmly Welcome New Patients!

 

If this is your first appointment to Our Dental Home in Marshfield, to help make your first visit even more pleasant we would like to extend a

 

"Get Acquainted Offer" 

 

To receive $50 off any services performed:

 

1.  Call us at (417) 859-0711 for your first appointment.

 

2.  Print this screen.

 

3.  Print, then fill out the "New Patient Form" (the link is to the right).

 

4.  Bring both to your first appointment.

 

You may choose to apply the $50 for services at a later date, but the printout of this screen and the New Patient Form must be presented the day of your first visit. 

 

This is not redeemable for cash, may not be combined with any other offer, and is not transferable. 


We look forward to welcoming you!

Three choices for opening the same documents:

The New Patient Form:
Document
New Patient Form
Document
New Patient Form

Record Transfer Form:

If you would like to have your dental records transferred from another office, this form can help.
Document
Records Transfer Form
Document
Records Transfer Form

If the Word or PDF files won't work for you, use the option below: 

 

(This method will print a website navigational bar first--please just ignore it.)

 

New Patient Form

 

Record Transfer Form