New Patient Resources

Welcome To Your Dental Home

We’re happy to have you joining the Bloom Dental family. When you visit our dental office, you should feel welcome and calm, our caring staff is here to assist with anything you need during your visit.

If you have any questions prior to your visit please call 812-339-3427 today or fill out our contact form using the link below and we will be in touch to help ensure you have everything you need for your first visit.

Contact Bloom Dental

Please Fill Out All Forms Prior to Appointment

We ask that all new patients review the HIPPA Notice of Privacy Practices and that they fill out each form prior to their appointment: HIPPA Form and a Medical History Form.

HIPPA Form

HIPPA Form

Health History Form

Health History Form

HIPPA Notice of Privacy Practices

HIPPA Notice of Privacy Practices