New Patient Forms

Be Prepared for Your First Appointment

Being prepared for your first appointment to evaluate your need for oral and maxillofacial treatment can pave the way to an efficient and thorough treatment process. Your care is extremely important to the staff at Great Plains OMS. In order to help us provide you with exceptional service at our first meeting, you may fill out these New Patient Forms on our secure website. Please be sure to bring any insurance related information with you to your appointments at Great Plains OMS to allow for an even speedier check-in process. 

Dr. Nielson and the staff of Great Plains OMS look forward to meeting you!


Notice of Privacy Practices

Patient Insurance Form

Patient Health History