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Menu
  • Home
  • Meet The Doctors
  • Meet The Team
    • Team Leader
    • Treatment Coordinator
    • Front Desk
    • Assistants
    • Hygienists
    • Insurance Coordinators
  • Our Services
    • Cosmetics
      • Bridges
      • Crowns
      • Botox
      • KYBELLA®
    • Ortho
      • Clear Aligners
      • Traditional Brackets
      • Ceramic
    • Dental Implants
    • Teeth Whitening
    • Root Canals
    • Extraction
    • Juvederm
    • Non-Surgical Gum Procedures
    • Dentures
    • Partial Dentures
    • Restoration
    • Cold Sore Laser Treatment
    • Pre Cancer Screening Treatment
  • Patient Information
    • Patient Forms
    • Dental Insurance FAQS
    • Reviews
    • Financing
    • Gallery
  • Testimonials
  • Blog
  • Contact Us

Patient Forms

Patient Forms

Our new patient forms can be found below. We request that all new patients print out the forms and complete them at home.

If you are unable to bring the forms completed, we request that you arrive 15-20 minutes early to fill the paperwork out in our office. Please call our office if you have any questions regarding the paperwork.

  • (Print & Complete All Forms Prior To First Office Visit)
  • Please fill out the questionnaire before coming to the office.

Questions? Ready To Schedule?

Click the contact us button to talk with us about scheduling your appointment or with any questions or concerns you may have about your procedure.

Contact Us Today

Contact

Family Dental Care

6075 Cleveland Cir.
Merrillville, IN 46410-2378

Tel: (219) 769-6316 
Fax: (219) 980-0379

Email: DrSim@live.com

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Our Hours

Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 5:00 PM
Wednesday 8:00 AM - 3:00 PM
Thursday 9:00 AM - 7:00 PM
Friday 8:00 AM - 3:00 PM
Saturday 9:00 AM - 2:00 PM
Sunday Closed

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