New Patients

Patient Forms, Map and Directions to Office

Your first visit to Drs. Knierim and Duggan, DMD, LTD 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.

Patient Forms
Please fill out ALL 4 FORMS that are listed below online so we can expedite your first visit. Failure to fill out ALL 4 FORMS can result in a delay in your appointment:
 

Patient Information & Health History 

Consent For Use And Disclosure Of Health Information 

Medical History Form

Medical/Dental Information Release 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 ARE APPRECIATED.