Patient Forms

Save time during your appointment with Dr. Brittany Gooding, Dr. Erica Chhokar or Dr. Ben Cvengros by completing our online patient forms. This allows us to review your medical history beforehand to ensure your needs and concerns are met during your appointment. After you schedule your appointment with us, follow the link below to fill out your information. Whether this is your first time visiting our office or you’ve been here for years, we want to sincerely thank you for trusting us with your care. We are always here for you. If you have any questions about these forms before you meet with our dentists in Clinton, Indiana, please call Crown Hill Dentistry at 765-832-7741.

New & Returning Patients
If it has been over two years since your last visit to our office, this form is for you.

Existing Patients
This form is for patients who have been to our office within the last two years.