Patient Forms

If you are a new patient to our office, the forms below will need to be filled out before you arrive for your first appointment. Having the forms filled out in advance will allow us to attend to your dental needs more quickly than completing them upon your arrival. Thank you for your time and please call our dental office if you have any questions or need any assistance.

Patient Forms

Testimonials

I waited a very long time to find the right dentist for me. Dr. Chad Jensen is the most kind, gentle and incredibly skilled dentist. I could not believe how easy it became to trust him. I am truly amazed and happy. Thank you so very much.

Andrea M.

If there were more stars I would click on them, I have been going to Dr. Diederichs for 5 months now and he is the best, explains the procedure as being done, very caring and no pain or discomfort at all, everyone that works in the office is so caring, not sure where they found their help but they are the best staff ever. I am so glad I had all my work done there

Bonnie