Patient Forms, Map and Directions to Eureka Office
Your first visit to Eureka Family Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
To provide the best comprehensive and comfortable family dental experience. Delivering the most exceptional patient experience in the industry, while having a positive impact on the surrounding community.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Filling out these electronic forms will allow you to relax once at the office and not have to worry about filling out all the paper work and we can begin to service your dental needs in a more timely manner. If you have any questions about these forms please don't hesitate to call our friendly staff at (636) 938-4450
- Online Patient Questionnaire: Adult
- Online Patient Questionnaire: Child
What To Expect
When you arrive for your appointment you will greeted by our smiling staff. Our no pressure dentistry approach will have you at ease knowing you made the right choice in Eureka Family Dental. Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
We are located down the street from Geggie Elementary School and next to Lion's Park. We have plenty of parking available.