Patient Forms

What To Bring To Your First Visit

At the time of your first visit, please bring the following documents to keep the process on track:

  • Filled out new patient form
  • Any panoramic X-ray taken within the last year by your dentist
  • Orthodontic insurance card, if you have insurance

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

Dr. Suzanne Stock

  • Main Office Location – Iowa City - 1031 Wade Street, Iowa City, IA 52240 Phone: (319) 338-8658
  • Fairfield Location - 205 North B Street, Fairfield, IA 52556 Phone: (319) 800-9497
  • Washington Location - 110 East Main Street, Washington, IA 52353 Phone: (319) 800-9497
  • Williamsburg Location - 521 Court Street, Williamsburg, IA 52361 Phone: (319) 800-9497

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