Schneider Dental
8928 E. 96th Street
Fishers, IN 46037
Phone: 317-598-9380
Fax: 317-813-1982
info@schneiderdentaloffice.com

Office Hours
Mon., Wed., and Thur.
7:00am to 4:00pm
One Friday per month
One Saturday per month
Emergencies welcome

New Patients

Welcome to our practice!
Please arrive at your first appointment 10 minutes early. You will need to bring the following information to your first appointment:

  1. New Patient Registration Form (print and complete)
  2. Medical History Form (print and complete)
  3. Responsibility and Consent Form (print and complete if the patient is under 18 years old)
  4. Dental Insurance Card if you have coverage. Be sure to have the name, date of birth, and SS# of the policy owner
  5. Office Financial Policy Form (print and complete)
  6. Authorization and Request for Previous Dental Records and Radiographs (print and complete)
  7. Receipt and Acknowledgement of HIPPA (print and complete)

Payment is expected at the time of service. Our office accepts many forms of payment, including: cash, check, money order, credit card.

If you are transferring to our office from another office, please print out this request form to be filled out and given to your previous dentist.

Please call the office if you have any questions. We look forward to meeting you!