New Patient

Thank you for choosing Lee Plaza Dental.

 

For your convenience, please complete the following online forms prior to your first visit.

 

NEW PATIENT REGISTRATION FORM

HEALTH HISTORY FORM

HIPPA PRIVACY INFORMATION

CONSENT FOR TREATMENT

 

If you have any questions, please contact Lee Plaza Dental at (816) 323-0180.

Online Forms

Insurance

Our friendly staff is here to answer any insurance questions that you may have, call Lee Plaza Dental at 816-323-0180 / 816-376-0851.

Office Gallery

Parking & Directions

  • Free valet parking for visitors - parking ticket to be validated at office front desk
  • Covered parking garage
  • Parking Directions

Ready to Improve Your Smile?

Schedule your appointment today.

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