New Patients

Patient Forms, Map and Directions to Office

Your first visit to Knierim Dental establishes a vital foundation for our relationship with you.  During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know us. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office and practice hours. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Knierim Dental
1000 Regency Court #101
Toledo, OH 43623
419-473-2728

Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Closed
8:00 AM - 5:00 PM
8:00 AM - 5:00 PM
8:00 AM - 5:00 PM
8:00 AM - 2:00 PM

Patient Forms
Please fill out these forms online so we can expedite your first visit:

Patient Advisory and Acknowledgement 

Patient Information & Health History 

Consent For Use And Disclosure Of Health Information 

Medical History Form



What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. Please bring a list of all the medicines you are taking and the name of your medical doctor. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with us. If you have dental insurance, please bring your insurance card with you. Please understand that our office may not be in network or accept your insurance.  We look forward to your first visit.

REFERRALS AND NEW PATIENTS ARE APPRECIATED.



Driving Directions

Hours of Operation

Our Regular Schedule

Monday:

Closed

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed

Our Location

Find us on the map