Patient Forms

Appointments
Patients are seen on an appointment basis, and we reserve time specifically with you and the doctor or hygienist. We ask that you complete an online appointment request or call (270) 932-4286 in advance so that we may reserve an appointment time for you.

If you are a new patient to our office, the link below contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing forms, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all. (CLICK HERE) or on link below to download forms.

New Patient FormsDownload, Print & Complete Prior To 1st Visit

This web site uses files in Adobe Acrobat Portable Document Format

(pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Testimonials

Dr. Simmons office is a great place to receive your dental care. He is very gentle when working with you. If you are in pain the staff does there best to work you in within day or two. The office is very clean and up to date on the latest technology. They are also very good with children.

Linda