Patient Information

Dental Patients 

Please print each form out and either bring the completed forms with you to your appointment or email them to us at If you have any trouble with the documents please do not hesitate to call. 

Patient Info.pdf

~ NP Medical History.pdf

 Sleep Apnea Patients 

Please click on the questionnaire link below and complete the prompts.

Sleep Apnea Questionnaire

Office Location

  • Omaha
  • 17607 Gold Plaza, Suite 108
  • Omaha, NE
  • 68130
  • Map & Directions
  • Call: 402-934-5200