Patient Forms
If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, 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 call our office if you have any questions at all.
Print & Complete All Forms Prior To First Office Visit
Patient Forms (Adult)
Patient Forms (Child)
Health Information Form
Financial Agreement
HIPAA Acknowledgement and Consent Form
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.
Dr. Eggert is very pleasant and keeps his patients informed throughout the dental procedure, which makes me feel comfortable.
Mary C.
Dr. Coles is very kind and sweet. I had no pain when I saw him for my procedure and I felt very safe with him!
Tracey D.
The doctors and staff at Webster Family Dentist are by far the best! I would recommend to anyone.
Mike P.
Dr. Eggert and his staff we’re amazing with me. I never expected such an easy visit for a tooth filling in my life. He is not only honest & compassionate, but he makes you feel comfortable.
Nicole K.
Thorough, understanding, explains everything, compassionate, excellent skills
Annie C.