North Indianapolis Dentist - Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Indianapolis dentist Dr. Walton and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New Patient Information 

Smile Analysis

Medical History

Financial Agreement/Consent for Treatment

HIPAA

To complete your forms online, click the button below to register using our online patient portal:


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

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Contact us today!

Gary V. Walton, DDS
Indianapolis Cosmetic & General Dentist

Indianapolis Dentist, Dr. Gary V. Walton was selected as a top dentist in the December 2011 Indianapolis Monthly. Dr. Walton is a dental professional dedicated to General and Cosmetic Dentistry such as Dental Exams, Bio-Compatible Dentistry, Teeth Whitening, Laser Dentistry, CEREC, Veneers, Crowns, & more. For all your dental needs, visit Indianapolis, IN dentist Gary V. Walton, DDS.


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