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.
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.
Ready to Improve Your Smile?
Schedule your appointment today.