Call Dr. Horner at (334) 271-4600

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Killian J. Horner, D.D.S.

New Patients

East Taylor Dental is pleased to welcome new patients to our practice.  Please print and fill out the forms below.  In order to streamline your registration process, if possible, please email, fax or mail back completed forms at least two days in advance of your scheduled appointment. 

 

Patient Registration Form
Insurance Registration Form
Medication List Form
Medical History Form
Dental History Form

 

Please take a moment to review the following forms prior to your arrival.  It is not necessary to print and sign these forms before coming to your appointment.  Your signature will be obtained electronically.  If you have any questions, please make sure you ask your questions before signing the document.

 

Office Policy Form
Informed Consent Form
HIPAA Notice
HIPAA Consent

SERVICE AREAS

East Taylor Dental ADA Accreditation

East Taylor Dental AGD Accreditation

East Taylor Dental

East Taylor Dental ICOI Accreditation

East Taylor Dental and Casey Online

East Taylor Dental AADSM Accreditation

Accreditations & Memberships

 

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