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(719) 634-8458

Forms

For your convenience, you may print the following 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 – Patient Acknowledgement

Statement of Privacy Practices *

*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 electronically sign an acknowledgement that the Policy has been provided.

Testimonials

Mark T. Albers, D.D.S.
Dr. Albers has been my dentist for over 15 years. Everyone in the office is welcoming, warm, and caring. Lee Ann, my hygienist, is extremely professional and personable. I’ve had everything done from routine exams to crowns installed, and Dr. Albers has always done a great job. I highly recommend his practice to anyone seeking quality care.

Contact Us

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

(719) 634-8458