Kluth Family Dentistry | New Patient Forms

Alexandria:765.724.7729

Noblesville: 317-770-1050


                                                    Patient Forms


For your convenience we've provided our patient registration form for you print and fill out at home, before you appointment. Please remember to bring the completed form with you to your appointment.



This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.



Privacy Policy

This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.





Alexandria Office: 2204 S. Park Ave.
Alexandria, IN 46001

Phone: 765.724.7729

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Noblesville Office:
16000 Prosperity Drive
Noblesville, IN 46060

Phone: 317.770.1050