(913) 764-6222 info@pediatricandlaserdentistry.com
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Pediatric and Laser Dentistry
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New Patient Forms

On your first visit to our office, please bring your insurance card and our First Visit Packet already completed.
If you do not bring it with you, please come 15 minutes early so that we can see your child on time.

Your insurance determines your coverage. Any amount not covered by your insurance will be due that day.

Please bring all your forms filled out.

Download and Print Patient Information Form here.

Download and Print for Frenectomy Babies Only here.

CREDENTIALS

PATIENT LOGIN

CONTACT US

Phone
(913) 764-6222
Email
info@pediatricandlaserdentistry.com
Address
13095 Mur-Len Road, Ste. 160
Olathe, KS 66062
Hours
Monday – Thursday 8am – 5pm
(Receptionist available from 9am – 3pm)
Friday CLOSED

Designed by Pilcher Creative Media | © Pediatric and Laser Dentistry 2014-2022

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