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Patient Forms

As a convenience to our patients, and to ensure your first appointment goes as smoothly as possible, please click each link below for a total of four forms per patient. Please use the child form for patients under the age of 18. Thank You!

New Patient Info Sheet (Adult)

New Patient Info Sheet (Child)

Health History Form

Financial Policy

Notice of Privacy Practices


14221 Metcalf Ave
Suite 100
Overland Park, Kansas 66223

Phone: 913.851.5900
Fax: 913.851.5912

Email: info@lenzdds.com


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To contact us CALL 913.851.5900
or fill out the online form below and we will contact you.

Our Hours

Monday
Tuesday
Wednesday
Thursday
First Friday
of each month
8:00 a.m. - 5:00 p.m.
8:00 a.m. - 5:00 p.m.
8:00 a.m. - 5:00 p.m.
7:00 a.m. - 4:00 p.m.
7:00 a.m. - 2:00 p.m.
© Copyright 2010- Dr. Matthew T. Lenz DDS and www.lenzdds.com
All Rights Reserved
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