New Patient Forms for Pratt Dental in North Platte, NE
For your convenience, you can download our new patient forms and fill them out prior to your first visit at Pratt Dental. We know your time is valuable, and the last thing you want to do is to fill out new patient forms for you and your family when you arrive at the office.
Click to Download Medical History Form
Click to Download HIPAA/Notice of Privacy Practices. Please print and sign the last page of the document to bring to your appointment.
Click to Download Patient Registration Form
We accept most insurance providers and offer affordable prices to stay competitive with other dental practices.
We also accept all major credit cards, as well as cash, debit, and personal checks. For your convenience, a payment plan can also be arranged through Care Credit.
Call (308) 221-2800Contact Us
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Please reach out to us with any questions you have! We can help answer questions about new patient forms or anything else you need. Call 308-221-2800 or send us an email!