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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.
We made a big mistake when we left as patients of Dr. Albers when he moved his office north. But after about six months without his skills and great staff, we realized that such an exceptional dentist is worth any amount of extra drive time, so we returned. We also appreciate his very solid family and community values.

Contact Us

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

(719) 634-8458