PATIENT FORMS

Is this your first time visiting Lake Harbor Dental? Before your initial appointment with Dr. Michael Peterson or Dr. Eric Ballou, please download and print the forms below. Bring the completed forms to the office at least 15 minutes before your scheduled appointment to ensure fast service.

New Patient Information Form

Medical History Form

New Patient Financial Consent Form

Want to know who will be seeing you before your first appointment? Check out our About page to meet the amazing staff here at Lake Harbor Dental. Our staff will ensure that you are comfortable and kept up-to-date and informed on your dental care.

We provide a wide variety of services at Lake Harbor Dental. From crown fittings to teeth whitening, we will take care of you. If you require a service that isn’t listed on Our Services page, please contact us and we’ll see how we can help.

PAYMENT OPTIONS

Payment is requested at time of service.

For costs not covered by insurance, we accept: Visa, MasterCard, Discover and American Express. We also offer third party financing through CareCredit and The Lending Club. Ask the waiting room staff for more information. We’ll be happy to help.

RESOURCES

Pre-IV Sedation Instructions

Post-Op Instructions