Patient Forms

Patient Forms

Here at Moffitt Dental, we understand the importance of convenience and efficiency when it comes to your dental care. That's why we offer the option for you to submit patient forms from the comfort of your own home.

By completing your forms ahead of your visit, you not only save time during your appointment but also give our team more time to focus on creating your new smile. Our dentists, Dr. Jordan Moffitt and Dr. Michael Moffitt, value getting to know their patients' medical histories in order to provide personalized treatment options. So, by taking the initiative to fill out your paperwork before coming in, you are helping us better prepare for your visit and ensure a smooth experience for you. If you have questions or need help completing your forms in Eagle Grove, Iowa, don't hesitate to contact our friendly team at 515-448-4852 today!


322 S Commercial Ave,
Eagle Grove, IA 50533

Office Hours

MON - WED8:00 am - 5:00 pm

THU8:00 am - 4:00 pm

FRI - SUNClosed