Please complete  both pages of the Health History Form and return to us at [email protected]. Forms are fillable online.  You can also print and bring a hardcopy to the office. We are looking forward to meeting you at the office!

Need to transfer your record? Please complete the record transfer form and return to us at [email protected]

​We are currently accepting online payment via [email protected]@gmail.com  &  venmo @lakemontfamilydentistry.  Please add the name of the account on the note or comment section if it is different than the sender's. You can also email us to request a secure online payment link