Our office has recently redesigned our electronic forms in an effort to make them more user friendly. 

The contact and health forms must be completed for each patient, before their appointment. The insurance form (if applicable) only needs to be completed by the insurance plan subscriber. If you have any trouble these forms can also be completed in-office, just be sure to arrive early. Finally, don't forget to update these forms whenever the information entered changes. 


Complete for every patient:

Complete only for the subscriber:


Complete as needed:

4634 Lawrenceville Highway, Suite 102, Lilburn, Georgia 30047

©2020 by Dr. Richard Sepmeyer, DDS