Hiple Family Dentistry 
(317) 843-9760
                                                                           
 
 

Office Hours:

Monday 9 am - 6 pm

Tuesday and Wednesday 8am - 5 pm

Thursday 7am - 3pm


 
 

 

For your convienence we have provided your new patient forms below

for you to print and complete prior to your first visit.

Please complete adult or child form including ALL other forms below.

 

Adult New Patient Form

Child New Patient Form (18 and younger)

Financial Policy

HIPPA Form

Hygiene Visit Policy

 

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CLICK HERE TO ACCESS OUR PATIENT PORTAL

Patient Portal is a free and convenient way for you to access the front desk services of your health-care provider.
  • Review and pay your bills online
  • Check appointments you have scheduled
  • Send secure messaging to your provider
  • View personal images and documents before and after your appointments
  • Change your messaging preferences
  • Set personal reminders for yourself

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Our goal is to make your visit to the dentist as easy and stress free as possible.

For your convenience, we accept:

  • ALL MAJOR DENTAL INSURANCES
  • Payment: Cash, check, Visa, MasterCard, Discover, American Express
  • Financing through CareCredit