New Patient Information

At Custer Family Dental & Ortho + Kids, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care. 

New Patient Form


Update Medical History Form


Non-Refundable Deposit Form


Authorization for Minor Child


Office & Insurance Policy


HIPAA Privacy Policy


Safeguard Privacy Policy


Patient Advisory & Screening:





Insurance Accepted - ask us for which providers we accept.






We finance through Care Credit, ask us how







What Every Patient Can Expect

At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.