Patient Forms

New Patient Registration Form

New patient? Please download and fill out the following forms when you come in for your first appointment. Do one form from each section (except for new patient medical history- need to do both parts).

Microsoft Word document [71.0 KB]
If you prefer the PDF version.
Patient Registration.pdf
Adobe Acrobat document [233.3 KB]

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print the appropriate form, fill it out and bring it with you for your first visit.

New Patient Medical History Form Part One
Health History page 1.pdf
Adobe Acrobat document [826.5 KB]
New Patient Medical History Form Part Two
Health History page 2.pdf
Adobe Acrobat document [709.0 KB]
Health History Update Only-for Recall Patients
Microsoft Word document [70.8 KB]
Health History Update Only-for Recall Patients
If you prefer the PDF version- short health history form
Health History Update.pdf
Adobe Acrobat document [295.6 KB]

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Privacy Notice for New Patients
Microsoft Word document [59.6 KB]
Privacy Notice for New Patients
If you prefer the PDF
Adobe Acrobat document [227.8 KB]

Whitening Kits and Electric Tooth Brushes Available


Stop by and pick up some stocking stuffers for the family!

Technology Update:

       Tired of choking and gagging on impression material? We have a solution for you! We are now offering the latest dental technology, the DIGITAL SCANNER. Instead of tolerating a full mouth of impression material, Dr. Ludwig can now scan your teeth for a quick and easy dental visit without the mess. Our patients love it!

We now offer BOOST in-office bleaching for our patients who do not have the time for at home whitening trays or bleaching strips. Boost significantly lightens teeth in the shortest amount of time!

Did You Know


Dr. Ludwig and his staff currently use digital x-rays which reduces your exposure to radiation by 66% over conventional x-rays.


LASER's  have many uses, including desensitization of mouth sores for example canker sores also known as aphthous ulcers. Everyone has experienced the pain from these mouth lesions at one time or another. These uncomfortable sores are treated painlessly by Dr. Ludwig using the LASER that allows them to heal without any further discomfort. 

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© George E. Ludwig, DDS