Patient Information
Your first visit to Lebouef Family Dental is where we start building a lasting relationship with you. At your initial appointment, we’ll gather important background information, like your medical history, and give you time to meet your doctor. To help you prepare, this page includes everything you need to know directions to our office, hours, payment options, and details about our team and first-visit procedures. You can also save time by printing and completing your patient forms before you arrive.
Patient Forms
Please print and fill out the following form so we can expedite your first visit: Health History
Please review the following HIPAA Privacy Statement prior to your appointment.
In order to view or print this form, you may need Adobe Acrobat Reader. Download here.
Payment Options
We accept checks, cash, or all major credit cards. We also offer Care Credit. Care Credit is a credit card that can only be used for medical purposes. It gives patients the option to pay for the medical or dental bill in smaller monthly payments if you cannot afford to pay it all at one time.
Care Credit offers special financing options so you can avoid paying interest by making your minimum monthly payments and paying the full amount due by the end of the promotional period. Please call this toll-free number (800) 677-0718 to apply today.
Appointments & Cancellations
If you are unable to attend your scheduled appointment, we request at least a 48-hour notice so we can allow time for our team to update our schedule.
