Patient Registration

To expedite your first visit to our office you can print our New Patient Forms by clicking on the  buttons below. This will open a web page that you can review and print out.

Smile Analysis Get Acquainted Questionnaire Dental History Release Records Privacy Practices Acknowledgement of Privacy Practices Office Policy Premedication for Treatment Disclosure of Health Information Zoom Consent

Please complete all of the information requested and bring with you to your appointment. If you have questions please call our office at Bucktown Dental Care Phone Number (504) 831-6900.

Our Prayer

Our heavenly Father, as we begin this day, we bring your holy presence into this workplace. Grant us your peace, your grace, and your mercy as we prepare for our work today. Be with us as we practice dentistry and care for all of those who will place their trust in us.

Lord, we thank you for our many talents, skills, and opportunities you have entrusted each of us with to do this work. May we use these gifts to fulfill your will, that each of us be gracious, compassionate, and joyful servants to each other, and to all of those we will care for today.