Patient Forms
Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Michiana Dental Care is to make every patient experience as comfortable as possible.
To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.
With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.
Want to get a head start? Fill out online the new patient form below.
Dentists Proudly Serving
South Bend–Mishawaka, IN
Since 2001
South Bend–Mishawaka, IN
Since 2001
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Staff is very friendly and professional, and DR: Vurugonda goes above and beyond for her patients! Would totally give it five stars.
What a great place. Very family oriented. My kids and all go here. Friendly professional service.
They squeezed me in last minute for some pain I was having! Great staff! Front desk especially!