Forms

New patients at Danville Family Dentistry are asked to complete several important questionnaire forms. This information is required to assure you will receive the best dental care.

When you arrive for your first appointment you will be asked to complete a general information form. This information relates to basic family history information. Dr. Erickson will request that you complete a medical history form and a dental health history form.

These forms are available for printing. Click on the links below to view them. They are in Adobe Acrobat format (PDF):

Office Address

Danville Family Dentistry
PO Box 486
23 S Co Rd 200 East Suite B
Danville, IN 46122

(317) 745-4400
[email protected]

Hours of Operation

  • Hours of Operation
  • Monday 8am – 5pm
  • Tuesday 8am – 5pm
  • Wednesday 7am – 4pm
  • Thursday 7am – 4pm
  • Friday - Sunday CLOSED

Request Appointment

To request an appointment with Danville Family Dentistry please click the button below
Request An Appointment