Thomas J. Lokensgard, DDS, NMD, ABAAHP
"Where Physiology Meets
Dentistry and Oral Medicine"
New Patient Forms
Please print this packet
bring it with you to your appointment
or you may fax it to us at
or email it to us at
If you are not able to print these forms,
Please come to your appointment
30 minutes earlier than you are scheduled
to complete your New Patient forms.
To Download the PDF Forms
Call us today at 1-615-481-4555 for more information, or to schedule an appointment.
Centre for Holistic & Biological Dentistry
1600 Westgate Circle, Suite 175
Brentwood, Tennessee 37027
8:00 am - 5:00 pm
HOLISTIC DENTISTRY SERVICES
"Walk in as a friend, leave as family"