Same-Day Consultations & Same-Day Starts Available!

7215 Engle Road Fort Wayne, IN 46804

Same-Day Consultations & Same-Day Starts Available!

7215 Engle Road Fort Wayne, IN 46804

Legacy Dental New Patient Forms

The Path to Your Healthiest Smile Starts Here

To save time during your initial visit to Legacy Dental, please print and sign the patient health history forms below. Also, please bring them with you to your appointment – we can’t wait to meet you!

  • legacy dental adult forms
    New Patient Form
    (Adult Form)
  • legacy dental child forms
    New Patient Form
    (Child Form)

As one of the premier dental practices in Fort Wayne, IN, Legacy Dental also provides high quality dental & orthodontic care to patients in Waynedale, Roanoke, New Haven, Huntington & Decatur.