Patient Forms










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Make an Appointment

To request appointment, please fill out the form below. Our scheduling coordinator will contact you to schedule your appointment..

Your initial oral examination includes a visual examination, charting, periodontal probing, diagnosis and treatment recommendations. We will also take x-rays, which includes the panoramic x-ray for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.

You may download our patient forms found on the left side of this page and bring them with you or you may attach them to the form below and return them to us electronically.

 Request an Appointment

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New Patient Savings

We have developed special offers for new patients of Gerwig Family Dental to help ease the burden of coming to a new office. If there is anything our staff can do to accommodate you please let us know either ahead of time or upon arrival.

We know that in today's busy lifestyle it is often burdensome to find the time to see a Dentist. That is why we have made seeing a Dentist in Lubbock both easy and affordable. These special savings are available to all new patients so be sure to bring in your savings certificate on your first dental appointment...it really is that easy.