Patient Forms

The following forms should be filled out and submitted to our staff prior to your primary visit. Please feel free to download and print these forms.

Once filled out, you may scan and email them to: drelacyjr@comcast.net. You may also fax them to: 970-635-9737 or bring them in before your 1st visit.

Dental History

Medical History

Patient Resources


Dr. Lacy is happy to help educate our patients. We encourage you to take some time and explore these educational links.

Pregnancy

It is important to see your Dentist during pregnancy for oral exams and teeth cleaning.

Babies and Kids

Teaching your child good oral hygiene habits early can lead to a lifelong healthy smile.

Teens

Cavities aren’t just for little kids – You can get them at any age.

Adults Under 40

Some people think that tooth decay is only for kids.

Adults 40 to 60

Did you know the average person between the ages of 20 and 64 has 3 or more decayed or missing teeth?

Adults over 60

Older adults are keeping their natural teeth longer than ever before.

Frequently asked questions

Get answers to commonly asked questions.
The video library has resources for the patient and the public.

Helpful links

Educator and Student resources