Humbert Road Dentistry Strives to Help You

PATIENT INFORMATION
It is important that you come prepared for your initial visit!
Please come with your health insurance card and a list of any medications you are currently taking.


The following forms will be securely submitted directly to our office. All forms are required to be completed 48 hours prior to your appointment to avoid cancelation.

Patient Information Form

COVID-19 Patient Disclosures

Schedule Appointment
We accept most dental insurance plans – please call 
618-465-8100
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