Patient Forms

Before your visit, we invite you to fill out our patient forms. Completing your patient forms before your visit will help you be more prepared and will ensure that your appointment is more streamlined and efficient.

Patient Information

Insurance Information

Health History

We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

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"Dr. Poettker is the best Dentist I have ever been to, I just loved her! She really took the time to answer my questions and make me feel very comfortable.
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Geraldine

"I just wanted to thank you for getting me in so quick when I called today. I will definately be back to your office and just wanted to say that Dr. Poettker and her staff were very friendly, caring, and helpful to me. "

Mary

"Dentist Offices are not my favorite place to be, however I just want to let Dr. Poettker and her staff know they make me feel very comfortable and I no longer fear going to the Dentist. The staff is extremely helpful, friendly, and truly make you feel at home. Dr. Poettker has a great office, wonderfull staff, and a warm atmosphere."

Tim

"I was looking for a female dentist and I am glad I found Dr. Poettker. The office is a very friendly place and the doctor is very gentle.
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Joe