New Patients

 

 

For you new patients out there these links will help you get with the drill!

You’re more than welcome to sit in our office and fill out this same form, but if you’d rather do it at your own home on your own time, here is a downloadable version you can just print and bring with you on your next visit!

Download New Patient Form

Download Medical History Form

Download Privacy Policy PDF

Insurance

We accept most insurance plans. We are an out of network provider, but will file all primary insurance claims. Please call our office to make an appointment and to ask any questions you may have.

Payment Options

We accept most major credit cards, ATM cards, cash and personal checks. For our patients’ convenience we have arranged a payment plan through a third party that helps our patients receive their treatment in a timely manner.

 

Please mail payments to:

805 South Maple Street
North Platte, NE 69101

©2019 Maple Park Dental | Design and Development by Ebbeka Design Co.

Benjamin Lashley, DDS
David Swanson, DDS
Daniel Woodburn, DDS

David Perry, DDS
Raluca Carty, DMD
Jeff Blomstedt, DDS

Friday  8:00am - 2:00pm
Saturday – Sunday  Closed