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823 North Broadway Ave | Spring Valley, MN

507.346.7281

Keith Casella, D.M.D.

Lauren Phipps, D.D.S.

New Patients

 

New Patient Forms

 

For each new patient, please print, fill out and bring the following forms with you at your first appointment.

 

Patient Information Form

 

Dental History Form

 

Medical History Form

 

 

The following form is optional to print and is for your reference only.

 

Updated Notice of Privacy Practices

 

Updated Notice of Privacy Practices (en espaƱol)

 

 

Thank you. We look forward to meeting you and welcoming you into our dental family.

 

Financial

 

We highly appreciate the emotional and financial investment to proceed with comprehensive dentistry. During your consultation, our doctors and staff will review your treatment plan with you and provide a description of the proposed treatment. We will also discuss your investment prior to any treatment, along with several options for your convenience.

 

We can help you maximize your benefits: We accept most dental insurance programs used by major employers in our area. Our goal is to maximize your insurance benefits and make any remaining balance due easily affordable.

 

We Accept: In addition to cash, we accept checks, VISA, MasterCard and Discover. We also work with third party financing companies to make it easy to get your treatment now and pay for it over a period of time. We will try to find a financial arrangement that works for you.

 

 

GET IN TOUCH

823 North Broadway Ave | Spring Valley, MN

Spring Valley Dental Proudly Serves the Following Areas around Spring Valley, Minnesota:

Stewartville, Racine, Grand Meadow, Wykoff, Fountain, Preston, Ostrander, Etna, Elkton, Dexter, Adams, Le Roy, Harmony, Canton, Lanesboro, Rose Creek and more

 

Keith Casella, D.M.D. | Lauren Phipps, D.D.S.

823 North Broadway Ave | Spring Valley, MN | 507.346.7281

Keith Casella, D.M.D.

Lauren Phipps, D.D.S.

823 North Broadway Ave

Spring Valley, MN

507.346.7281

823 North Broadway Ave

Spring Valley, MN

Keith Casella, D.M.D.

Lauren Phipps, D.D.S.

823 North Broadway Ave

Spring Valley, MN

507.346.7281

823 North Broadway

Spring Valley, MN