Call for an appointment: 
Bloomington, IN (812) 333-4550

Contact us!

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


Office location:
Bloomington
379 South Park Ridge Road
Bloomington, IN 47401
Phone: (812) 333-4550
Click here for map

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Technical Note: *Once reviewed, scroll down to register.

Mac Users
CLICK HERE TO REVIEW STEP BY STEP INSTRUCTIONS

PC Users
Our online form uses the latest Adobe Acrobat Reader plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at the latest version of the plug-in to successfully use our online form.

TruForms are only compatible with Internet Explorer and Firefox web Browsers


 

Surgery Instructions

If you are a new patient to our office, please fill out the Online Patient Registration Form. Below you will find Post-op and Pre-op Surgery Instructions. You may view online and/or print for your convenience.  Thank you and please contact us if you have any questions.

Post-op Implant Surgery (PDF)

Post-op Perio Surgery (PDF)

Laser Post-op Instructions (DOC)

Frenenctomy Post-op Instructions (DOC)

Tissue Graft Post-op Instructions (PDF)

Conscious Sedation (PDF)