Request Forms Like Us Reviews
(937) 642-1151 | 1180 Columbus Ave, Marysville, OH 43040
Dental Emergencies Welcome   •   In-Network Insurance   •   Accepting New Patients
(937) 642-1151

New Patient Information

Your First Visit

Welcome to Montgomery Family Dental Care! If you’ve already scheduled your first appointment, we look forward to meeting you and helping you feel right at home with our team. From the moment you step through the office door, you’ll be greeted warmly and brought back to start your appointment right on time. Our team members will ask about you and your dental history, compiling all the information they need before Dr. Montgomery arrives to discuss these issues with you in depth and perform her own examination. We want to fully understand any personal goals and concerns you have in regards to your smile so that we can create the ideal treatment plan that gives you the results you want. 

Patient Forms

Before your first examination at our Marysville, Ohio office, we ask you to please print and fill out the new patient forms below. This helps speed up the examination by providing a better look at your dental health for us.

Patient Information Dental/Medical History

Insurance Welcome!

Contact us today to if you’d like our staff to answer your insurance questions. Montgomery Family Dental Care is in-network with several insurance providers. Just call us to find out more about our insurance policies!

Montgomery Family Dental Care accepts the following payment options:

In-house payment plans are also available on a case-by-case basis.