New Patients (479) 323-3011

Current Patients (479) 340-0966

4805 Highland Knolls Rd, Suite 300 Rogers, AR 72758

Rogers AR Dentist Office Patient Forms

We appreciate your patience as we set up our new dental office with the best possible patient experience in mind.

We look forward to seeing you in our new, state of the art dental office in Rogers, AR.

You can now print and submit your new patient forms from the comfort of your home. In order for Dr. Adams to prepare for your visit, we ask that all forms be completed 48 hours prior to your appointment.

Your appointment will not be confirmed until we receive your paperwork.


Adult Patient Paperwork Online

Adult Printable New Patient Paperwork


Child Online New Patient Paperwork

Child* Printable New Patient Paperwork

*Please complete child paperwork for any patient under 12 years of age.