Patient Forms

In advance of your appointment, click the link below to download and complete patient forms. Please bring the forms with you to your appointment.

Patient registration forms: Self-assessment, personal information, and dental and medical history

“I have horrible anxiety at dental offices. I have never been as comfortable as I am at Dr. Brooksher’s office. Everyone is really nice, accommodating, and understanding!”

Jay Alex

“Dr. Brooksher is humble, kind, funny, and easy to get along with. His staff is friendly, too! I have the utmost respect for his work. I've never been this comfortable going to the dentist.”

Christopher Jeffers

“Dr. Brooksher came highly recommended by so many of my present and former coworkers. I've had fear of the dentist all my life and finally got the courage to go. I can now say for myself that he is the best—hands down.”

Patricia Madison Anthony

“Sometimes I feel that Dr. Brooksher and his staff care more about my teeth than I do. They are professional and prompt, so definitely be on time for your appointment!”

Brock George

“I’ve been a patient at Dentistry by Brooksher for more than 15 years. They are always thorough and professional. Dr. Brooksher explains your options and the best treatment plans. He and his staff are a pleasure to deal with.”

Wilson Alvarez

We have instituted new infection control protocols in response to COVID-19

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