Home | Legal Notices

New Patients

At Bluegrass Oral Health Center we know your time is valuable.  To expedite assisting your needs, the following forms are available for printing and filling-out prior to your first visit.  To save you time, bring the completed forms so we can immediately review them and assist you.

Access to the forms below requires Adobe© Acrobat© Reader™

Patient Registration
Dental History
Medical History


Extra care, please!

Open and honest communication with our patients is of the utmost importance to us.  With that in mind, we have developed a list of common concerns or problems that can prevent people from seeking dental care.  Knowing your concerns helps us make your visit more pleasant.  Please complete our "Extra Care Needed, Please" form.

Extra care, please!

Dr. Andrew M. Burt – Dr. William Funk – Dr. Leslie Campbell

Bluegrass Oral Health Center
546 Park Street, Suite 400
Bowling Green, Kentucky 42101
Phone: 270-781-6161
Bluegrass Oral Health Center of Morgantown
304 W Ohio St
Morgantown, Kentucky 42261
Phone: 270-526-3346
 

Web Services by Camden Place