Diamond Gallery

Policies

Our patient forms are available to you online for your convenience. You will need Adobe Reader to view these documents. Please download, print, and fill out the forms and bring them with you to your appointment. Of course, you can always come by the office and fill them out before your visit.

Patient Registration

Patient Medical & Dental History

Periodontal Risk Factor Assessment

Financial Agreement

Consent to Leave Information

Authorization to Release Dental Information

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Contact Us


Address
Lisa Gonzales, DDS
10203 Leavenworth Road
Kansas City, KS 66109

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Phone
913.299.3999
Fax
913.299.3165


No Insurance? No problem.