We want your experience at Lifetime Dental to be as smooth as possible. We encourage you to fill out your New Patient Form before your appointment with our dentists. Completing them ahead of time will help transition you quickly into your visit with Dr. Gubler, Dr. Gorman, or Dr. Hill when you arrive at our dental office in Rogers, Arkansas. Call us at 479-631-9393 if you have any questions.

PDF Form to Print and Bring

New Patient Form (Print and Fill Out)
New Patient Form (Fill Out and Print)

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Online Form to Fill and Submit

View Online Patient Form