Fill Out Our New Patient Forms
Welcome to Dental Impressions of Ankeny! Your journey to a consistently beautiful and healthy smile begins with your first visit, during which Dr. Foust and our caring, highly experienced team will consult with you personally. Then, Dr. Foust will perform a comprehensive examination, complete with X-rays to make sure your dental records are up-to-date. For your convenience and for faster service, we invite you to download and fill out our new patient paperwork before you come in for treatment.
- Health History Form (Required)
- Notice of Financial Arrangements and Dental Insurance
- Child Health – Dental History Form
- Authorization for Signature on File
- Consent for Use and Disclosure of Health Information
- Acknowledgement of Receipt of Notice of Privacy Practices
- Email & Text Authorization Form
- Financial Policy Form
Bring Your Forms with You
After you’ve filled out online forms, bring them with you to your initial consultation! To schedule your visit, call Dental Impressions at (515) 965-0230. Since 2006, Dr. Foust has proudly served the residents of Ankeny, IA, as well as residents from Alleman, Elkhart, Bondurant, and all surrounding communities.