OVERLAND PARK
4601 West 109th St., Suite 250
Overland Park, Kansas 66211
913-498-3636
LEE'S SUMMIT
1218 N.E. Windsor Drive
Lees Summit, Missouri 64086
816-554-ROOT
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Patient Forms

Save time by filling out our patient forms before you come visit!

Testimonials

"Last year I had my first root canal in my entire life. With you and your compassionate, kind nurses - it was a "breeze"

- Theresa

Come Prepared!

If you would like to avoid filling out forms upon arrival, print these forms now and bring them completed with you!

Main Patient Form

Informed Consent For Endodontic (Root Canal) Therapy