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Patient Form Downloads

For your convenience, you can now access all new patient forms online. Simply download each form below, complete the information at home, and bring the forms with you to your first appointment. Should you have trouble downloading the forms, please call our office and a knowledgeable receptionist will be happy to assist you.

Adult New Patient Form
Child New Patient Form
Financial Policies Form
   

About Us

Our practice is committed to providing you and your family with safe, gentle, high-quality dental care. We understand that you, or your child, may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing you with the best care possible. More>>

Contact Us

Dr. Harry Suekert
3500 Ringgold Rd, Ste 1 & 2 
East Ridge, TN 37412
(423) 402-8217

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