Patient Forms


Patient forms (2 options):

  1. If you are computer savvy - Click and save the file below to your desktop. Open the document from from your desktop. You will be able to electronically fill the entire form, including electronically signing the documents. Please send the fully completed document as an attachment back to our office at ContactUs@LanierValley.com

    or

  2. Please print and fill out the following forms, scan them in, and email back to our office. Or you can bring in with you on your first visit! Please click link below.

We look forward to serving your dental needs. If you have any questions concerning the information seen here or to schedule an appointment with Dr. Colin P. Lentz, DDS at Lanier Valley Dentistry, please contact us at ContactUs@LanierValley.com or (678) 802-1209 or (678) 4-LENTZ-4, and we will be happy to help you.