New Patient Forms


Thank you for choosing Antelope Creek Family Dentistry as your trusted Lancaster County family dental practice. Before you come in for your first visit to our office, we ask that you please download and print the appropriate forms. By printing and filling out these forms at home then bringing them in at the time of your appointment, it will help us fill out your chart and get you started as fast as possible.

If you have a problem downloading the forms, please call us at (402) 486-1200. We would be happy to mail or fax them to you.

**Please Note: We ask that you list all your current medications on the appropriate form.

  • Medical History Form
  • Patient Registration Form

  • adobe

    *These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

    Don't Have Dental Insurance? 

    CLICK HERE to Learn about Our Dental Savings Plan

    Antelope - Savings Plan - 4