Pillager Dental

Pillager Dental

218-746-4555Connect with us on Facebook

  • Home
  • About Us
  • Meet The Staff
  • Services
  • Patient Forms
  • Testimonials
  • Contact Us

Patient Forms

paperworkWe’re happy that you’ve scheduled your first appointment with us!

We have just a few short forms for you to fill out. Click on the links below, print them, fill them out and you’ll be all set before you arrive at your first appointment.

Consent for Use and Disclosure of Health Information

Patient Information

Health History

Dental Records Release Form

Appointment Notice

LOCATION / HOURS

727 Buckskin Avenue West
Pillager, MN 56473

Monday – 9:00 a.m. to 5:00 p.m.
Tuesday – 9:00 a.m. to 5:00 p.m.
Wednesday – 9:00 a.m. to 5:00 p.m.
Thursday – 9:00 a.m. to 5:00 p.m.
Friday - Closed

TESTIMONIALS

Best experience ever. What a nice place to go. Very pleasant from the time I walked in, to the time I left. They also had a cancellation for cleaning, so I took it. Great job everyone, very gentle and pleasant, made my day.

Read More

CONNECT WITH US

We know that finding a dentist can be a struggle - and we want to simplify it all for you. Call us now, and we’ll discuss your needs, concerns, and questions - so you can make an informed decision before booking your appointment.

218-746-4555

Copyright © 2022 · Pillager Dental · (218) 746-4555 · Made with heart by April Powell