2025 Declaration Dr. Suite B | Independence, KY 41051 | Request an Appointment > | (859) 429-1327

 Fill out new patient forms before your first visit to Peter Family Dentistry. 

Patient Forms

Our patients can now fill out their registration forms online!  You can use any device, but tablets work the best for signatures.  Also, please remember to obtain any x-ray images from your previous dentist to avoid having to retake any.  Please click below for the appropriate registration packet:


You may also see PDF versions of our forms below.  

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.