LaFayette Dental Associates

New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

New Patient Online Forms Packet

Click on the link below to locate the Patient InformationMedical History, Notice of Privacy Practices, Financial Policy, and Release of Records information.

Please ensure that all five forms are filled out before clicking the "Submit" button.

New Patient General Checkup Appointments

If you are interested in scheduling a general checkup appointment with us online, please use the link below.

Discount Plans

No Insurance? No Problem!

We have several plans available to suit your needs. Please click on the link below for more details on our Standard Plan for a $299 yearly subscription, as well as other discount plans offered at our practice.

Release of Records

Please fill out this form to request that your dental records be transferred from your previous dentist.

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (315) 677-3113
View the ADA Accessibility Statement