Appt Icon Pin Icon Phone Icon
logo

Your time is of course very valuable to you, and it is just as important to us! We appreciate you taking time out of your busy day to see us, so we want to make sure that your visit is as quick and on time as possible so that you can return to your other activities. Please see our patient forms below if you would like to prepare in advance for your visit with our dentist in Lancaster, Pennsylvania. You may contact us at 717-394-3592 if you have questions about these forms or would like to schedule a visit with Dr. Michael Funk soon. We look forward to seeing you at Lancaster Smiles and providing you with the convenience and ease you deserve.

NEW PATIENT INFORMATION
MEDICAL HISTORY INFORMATION
FINANCIAL POLICY and AGREEMENT
DENTAL HISTORY INFORMATION
APPOINTMENTS
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES