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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.
Dear Dr. Albers: I am very thankful to God and you for your talents and the wisdom you used with my dentures. I can now crunch the tiny seeds in a strawberry! I am so grateful to know what that feels, sounds and tastes like. Not to mention chewing carrots, apples and steak. I am not afraid I will choke anymore. My teeth are beautiful and so is my smile — I have received compliments, something that hasn’t happened to me in a long, long time. You and your staff are very professional, kind, and respectful with your utmost concern for your patient’s well being. Thank you again.

Contact Us

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

(719) 634-8458