Skip to content
allure-dental-logo-1
  • Your Teeth
    • Our Approach
    • Bone Grafting
    • Root Canals
    • Crowns & Bridges
  • Your Smile
  • Invisalign
  • Before & After
  • Dental Implants
  • TMJ/Migraine
  • About Us
  • Contact Allure Dental
    • Make A Payment
    • Printable Forms

Forms

The forms below are in PDF format. They can be printed and you can fill them out before your appointment.

Patient Information

Medical History

HIPPA Consent

Financial Policy

Keep Up!

Stay up-to-date with our upcoming events! Follow us online or subscribe to our mailing list for more info!

Please enter your name.
Please enter a valid email address.
Loop Me In!

Thanks for subscribing! Please check your email for further instructions.

Something went wrong. Please check your entries and try again.

Site Links

  • Your Teeth
    • Our Approach
    • Bone Grafting
    • Root Canals
    • Crowns & Bridges
  • Your Smile
  • Invisalign
  • Before & After
  • Dental Implants
  • TMJ/Migraine
  • About Us
  • Privacy Policy
  • Terms and Conditions
  • Printable Forms
  • Make A Payment
  • Contact Allure Dental

Get In Touch!

821 Twyckenham Blvd
Lafayette, IN 47909

(765) 477-0331

info@alluredental.com

Se habla español

© 2020 Allure Dental. All Rights Reserved.

Scroll To Top