Complete new patient forms for Dr. Stacy Johnson Family Dentistry, Greenwood, IndianaNew Patient Forms

Please download and read each of the documents below for an understanding of Dr. Johnson's policies and practices.

You are requested to print and fill out the New Patient Welcome packet (see below) at your convenience and bring it to our office for your first visit.

For best results, we recommend use of the latest version of Adobe Reader.

New Patient Welcome Packet

This packet contains our Patient / Insurance / Dental History / Medical History information form, Patient Consent and Disclosure of Protected Health Information, and an informational page pertaining to financial payment options. Please print all pages, fill out the questionaire, and sign all pages. Bring the packet with you to your first visit.

Important
Bring the New Patient Welcome Packet with you to your first visit to facilitate check-in.

Additional helpful documents

Appointment Guideline
Dental Insurance
Financial Menu
Patient Consent
Privacy Practices


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Proudly providing family dentistry services to patients in the communities of Bargersville, IN 46106; Franklin, IN 46131; Greenwood, IN 46142, 46143; Mooresville, IN 46158; Morgantown, IN 46160; Southport, IN 46217, 46227, 46237, 46247; Trafalgar, IN 46181; Whiteland, IN 46184; New Whiteland, IN 46184; and including White River Township.
Customer Online Payment Option
Online Customer Payment Option with SmileDash Portal
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