Home | Legal Notices
Follow Us!

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 – Dr. Thomas Birkenhauer – Dr. Meghan Thomas

546 Park Street, Suite 400
Bowling Green, Kentucky 42101
Phone: 270-781-6161
304 W Ohio St
Morgantown, Kentucky 42261
Phone: 270-526-3346
141 Main St.
Smiths Grove, Kentucky 42171
Phone: 270-451-0059

 

Web Services by Camden Place