New Patient Forms

We want to thank you for visiting the Ryan Rush DDS PLLC website! Our goal is for your first visit to be one of comfort and acknowledgement of your personal dental needs.

We will take the required time to properly diagnose your immediate dental concerns, review your past medical and dental history, and create a treatment plan that provides for your optimal dental health. With your cooperation, we will complete a thorough comprehensive dental evaluation.

Why? Because the foundation of a long term relationship is established at your first visit to our practice.

Interested? Complete the form below and we will contact you today! Or feel free to call us at (970) 223-5393.

Dr. Ryan Rush has provided our office forms for our patients to fill out at their convenience. Don’t forget to bring the completed form(s) with you to your appointment.

Forms to be completed by new adult patients:

Forms to be completed by a parent or guardian of new child patients under 13 years of age:

Our online forms use Adobe Acrobat Reader. Please downloadthe free plugin from Adobe’s web site if it is not already installed on your system.

Location

383 W Drake Rd STE 101, Fort Collins, CO 80526

Phone: (970) 223-5393

Office Hours

MON 8:00 am - 5:00 pm

TUE 7:00 pm - 5:00 pm

WED - FRI 7:00 am - 3:00 pm

SAT 7:00 am - 12:00 pm

SUN Closed

Get in Touch

Email: office@rushdental.co

Call: (970) 223-5393