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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.
My husband, Don, and I have been seeing Dr. Albers for around 20 years.  Dr. Albers is the kindest and most gentle dentist I have ever known.  Because of experiences in the past, I have had a great fear of going to a dentist.  Dr. Albers has gone a long way toward putting those fears to rest.  He understands, and treats my fears with gentleness and humor.  I appreciate his knowledge, and trust him completely.  We also appreciate Lee Ann, the hygienist we have seen for many years.  Linda, at the front desk is always so friendly, and that helps to put us at ease.

Contact Us

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

(719) 634-8458