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(719) 634-8458

Forms

For your convenience, you may print the following downloadable PDF forms and complete them prior to your appointment.  The General Information, Medical History, and Notice of Privacy Policy forms are required for every new patient and we will periodically ask you to review and update this information.  It is important that we have current information in order to provide you with the best dental care possible.

Downloadable PDF forms:

General Information

Medical History

Notice of Privacy Policy – Permissions and Patient Acknowledgement

Notice of Privacy Practices – Rev. 2018 *

*The Privacy Practices document does not need to be printed unless you would like a copy for your files.   Please review prior to your appointment, however, as we will have you sign an acknowledgement that the Policy has been provided.

Testimonials

Mark T. Albers, D.D.S.
Mark Albers, D.D.S. and his staff have been taking care of my family’s dental health since 1999. My 17 and 19 year old children have never seen another dentist. In everything from routine cleaning, sealants, fillings, crowns, and even handling primary and secondary insurance filing, this team of professionals has always provided us top-notch care and service. I enthusiastically give this practice my highest recommendation!

Contact Us

Mark T. Albers, D.D.S.
2155 Hollowbrook Drive
Suite 20
Colorado Springs, CO
80918

(719) 634-8458