New Patient Forms

If you are a new patient to our office, please print & complete our New Patient Form. You can bring the completed New Patient Form to your first appointment. If you have any X-Rays/ Records that need to be transferred to our clinic then please print, complete and return the Incoming Records Transfer Form to us ASAP via fax: 763-561-1211 or email: [email protected] so that we can initiate the process of records transfer with your previous dentist right away. Thank you and please call our office if you have any questions at all.

New Patient Form

If you need to have your X-Ray/ Records from another dentist transferred to our clinic, please fill out our: Incoming Records Transfer Form

If you need to have your X-Ray/ Records transferred out, please fill out our: Outgoing Records Transfer Form


7340 Zane Ave N, Brooklyn Park, MN 55443

Phone: (763) 561-1200

Office Hours

MON 9:00 am - 6:00 pm

TUE Closed

WED 9:00 am - 6:00 pm

THU Closed

FRI - SAT 9:00 am - 6:00 pm

SUN Closed

Get in Touch

Email: [email protected]

Call: (763) 561-1200