|Benjamin B. Ingram, DMD, P.C.|
|Home Meet the Doctor Our Staff Basic/Major Services Preventive/Diagnostic Services Periodontal Diseases FAQ Hours Newsletter New Patient Forms Payment Location Transportation Information Dental Research Links Appointment Request Dental Education Patient Information Patient Feedback Contact Us|
Prior to your dental appointment for New patients, you can download and print the Patient Registration and Medical History and bring to your Dental appointment.
If you are a current patient and you have any changes in medical, address change, name, or medications, You can download and print both the forms for a update for our records. Bring to your next Dental appointment.
Forms may require Adobe Acrobat Reader to print forms.