Welcome to Steven E. Lynn, DDS Family & Implant Dentistry. To ensure we provide the best possible care for our patients, we ask that all new patients complete the forms below prior to their first visit. These forms outline our office policies, financial expectations, and help us gather essential medical information to offer personalized dental care.
Please download, print, and complete the appropriate forms and bring them with you to your appointment. If you have any questions, don’t hesitate to contact us at 812-323-8112.
1. Welcome, Policies & Procedures
Download Welcome Policies & Procedures
This form outlines the office’s policies, procedures, and general expectations, including preventive care guidelines, payment responsibilities, and appointment policies.
2. Appointments & Cancellations Policy
Download Appointments & Cancellations Policy
Learn about our scheduling policies, the importance of canceling 24 hours in advance, and the $45 fee for no-show or non-canceled appointments.
3. Financial Policy
Download Financial Policy
Review our financial policies, which include details on insurance payments, late fees, and the process for handling outstanding balances.
4. Payment Arrangements
Download Payment Arrangements
This form outlines the payment options available, including cash, check, and credit card, as well as insurance handling for any charges not covered.
5. Patient Intake Form
Download Patient Intake Form
Complete this form with your personal, insurance, and medical history information before your first visit. This allows us to provide the most informed and safe dental care possible.
Please return the completed forms by email (erica.lynndds@gmail.com) or bring them with you on the day of your appointment. If you need help downloading or completing any form, feel free to contact us.