We are open with a commitment to your safety and infection control.

Patient Info

Your First Appointment

Welcome to our office! Modern technology, regular training, having an eye on current developments in dentistry research and a friendly environment are just a few ways we do everything we can to ensure your smile receives expert treatment.

As a new patient, you will see Dr. Kohlmeier for a new patient exam and updated x-rays prior to scheduling a cleaning. At this appointment, we will be able to present your treatment plan and answer any questions you may have.

New Patient Forms

To expedite your first appointment, please feel free to print and fill out these forms and bring them with you at your first visit.

Patient Medical History Form
This form is mandatory for new patients.

Financial Policy and Privacy Notice
Please read over and sign our financial policy and Notice of Privacy Practices, acknowledging our privacy policy.

Medical/Financial Release Form

Payment Policies

Kohlmeier Dental accepts all major insurance policies. Please bring your insurance card during your visit. In addition, we accept all major credit cards, checks and cash.

Payment in full is expected at the time of service. If you have dental insurance or other dental benefits, you will be expected to pay any deductible or co-insurance as outlined in your plan. A courtesy discount of 5% will be offered to patients without insurance whose accounts are paid in full on the day of service.

“Thank you for making my son’s 1st dentist experience a great one.”
–Heather | Emporia, KS