Thomas J. Lokensgard, DDS, NMD, ABAAHP
"Where Physiology Meets
Dentistry and Oral Medicine"

New Patient Forms 

Please print this packet
complete it
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

New Patient Forms
(10 pages)

New Patient Forms for Children
(7 pages)
Call us today at 1-615-481-4555 for more information, or to schedule an appointment. 
To contact us online, click here.

Centre for Holistic & Biological Dentistry 
1600 Westgate Circle, Suite 175
Brentwood, Tennessee 37027

Office Hours

8:00 am - 5:00 pm​
"Walk in as a friend, leave as family"