River Rock Family Dental is Lawrence Kansas' Premiere Dental Office! - Richard Valbuena and Kelly Joice DDS
NEW PATIENT FORMS
 
       
   
NEW PATIENT FORMS AND INFORMATION
 
       
Your first visit to River Rock Family Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by completing and printing out the new patient forms in advance of your appointment. Mission Statement Our practice is working together to realize a shared vision of uncompromising excellence in dentistry. To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.


   
Online Patient Questionnaire
 
Step 1 - We are asking you to complete new patient questionnaire enabling our clinical and administrative staff to prepare for your first visit and to make your check-in for your appointment quicker and easier.

Our questionnaire consists of 6 documents. To complete a document, simply fill out the fields with the requested information. While most of the fields are optional, certain fields, marked by asterisks, must be completed. When you have completed a document please review your entry, click the Submit button to move to the next document.

Please note that the information you will submit will be encrypted for your protection and goes directly to our office. We appreciate the time that you will spend providing the information helping us prepare for your visit.

Click the button on the right to fill out your new patient information online.
(Link opens in a new window)
   
REQUEST APPOINTMENT FORM
   
Step 2 - Now that you have all of your paper work ready go, use our online appointment request form!

If you are ready to start your journey towards a beautiful, healthy smile, please fill out and submit this appointment request form. Our scheduling coordinator will contact you to confirm your appointment. Otherwise, call River Rock Family Dental directly at 785-856-8600. If you are calling after office hours, please leave a message and a scheduling coordinator will call you back to set up an appointment.

Click the button on the right to request an appointment!

For any additional questions you may have, use our contact page for other ways to reach us.
   
 
 
 
Address - 1100 E 23rd St Lawrence, KS 66046
 
 
 
 
 
 
River Rock Family Dental is Lawrence Kansas' Premiere Dental Office! - Richard Valbuena and Kelly Joice DDS