Forms & Downloads

The security of your personal information is one of our primary concerns and we take every precaution to protect it.


To save time, complete these forms to the best of your ability.


Please complete the online form below:

Patient Registration and History


If you are more comfortable, feel free to download and complete your patient registration and health history forms at your convenience or fill them out with the LeMars Dental Center Staff when you arrive for your first visit.


Update Your Medical History


Download LeMars Dental Center Privacy Policy.


Post Op Instructions – Extractions

Post Op Instructions – Scaling and Root Planing

1311 Hawkeye Ave. SW | Le Mars, IA 51031  | 712.546.5183

Copyright © 2016 LeMars Dental Center, Inc. All rights reserved.