FORMS
NEW PATIENT FORMS
Welcome to Adolescent & Pediatric Dentistry. We are excited to meet your family and serve as your child's new dental home. We know that coming to the dentist can already be a challenge for some children and adding paperwork on top of that can be stressful. We would like to help make things easier on your family by offering New Patient Forms online. You can fill out our forms and bring them to your child's first appointment.
New Patient Form
MEDICAL HISTORY UPDATE
Welcome Back to Adolescent & Pediatric Dentistry. We require you to fill out a Medical History Update every year for each child in your family. If you could kindly fill this form out and bring it to your child's next appointment.
Medical History Update
RELEASE OF RECORDS FORM
Release of Records Form
OUR MISSION
Dr. Musal has owned our practice and provided a dental home for children and young adults in East Central Indiana for almost two decades. We are devoted to providing a positive environment in which patients can receive high quality, individualized care. That care centers on education and guidance in an effort to prevent dental problems whenever possible. It also includes treatment of existing needs that places a patient first.
WHAT TO EXPECT AT
OUR PRACTICE
- New patients are welcome
- Preventive, restorative, and emergency care
- Professional, knowledgeable, and compassionate staff
- Most insurance and Medicaid accepted
DR. MUSAL'S PROFESSIONAL AFFILIATIONS- Member of the American Dental Association
- Member of the Indiana Dental Association
- Member of the American Academy of Pediatric Dentistry
- Board Certified, American Board of Pediatric Dentistry
Member of the American Dental Association
Member of the Indiana Dental Association
Member of the American Academy of Pediatric Dentistry
Board Certified, American Board of Pediatric Dentistry
YP REVIEWS
Your feedback is important!
ADDRESS
610 S. Tilltoson Ave., Ste. 200
Muncie, IN 47304
Muncie, IN 47304
Business Hours:
Monday – Thursday
7:30 AM – 4:30 PM
(765) 288-5527EMAILKID-DENTIST@COMCAST.NET
PAYMENT OPTIONS
