Bluffs Dental New Patient Forms

Privacy & Medical Release Forms

We want to make our appointments as efficient as possible for our patients. Save time and get to your appointment quickly by downloading these new patient forms before your first visit at Bluffs Dental.

Download the New Patient Intake Form here.

Download the Privacy Form here.

Download the Medical Records Release Form here.

Post-Procedure Care Forms

After a procedure, we want to make sure our patients have the tools to take care of themselves at home. Download our post-procedural care instructions to ensure you’re on track after your appointment.

Download the Root Canal Therapy instructions here.

Download the Periodontal Therapy instructions here.

Download the Oral and Maxillotherapy instructions here.

Payment Options

At Bluffs Dental, we’re always accepting new patients, and we work with a number of insurance and payment providers to keep our services affordable. We work with most major PPOs and are an in-network provider for Blue Cross Blue Shield of Nebraska. Forms of accepted payment include most major credit cards, cash, or personal checks. We can also arrange a payment plan through Care Credit.

Contact Bluffs Dental

Do you have questions regarding payment or new patient forms? Get in touch with our dental office today, and we’ll walk you through what you need to do!

Contact Us

Contact Bluffs Dental

Do you have questions regarding payment or new patient forms? Get in touch with our dental office today, and we’ll walk you through what you need to do!

Contact Us