Patient Forms

At Hecox Dentistry, we understand that filling out paperwork can be a hassle, especially during your first visit. That's why we've made it easy for you by providing our patient forms online. Simply download, print and fill out the required forms at your convenience, and bring them with you to your appointment. If you have any questions or concerns regarding the forms, don't hesitate to contact us. We look forward to seeing you soon and helping you achieve optimal oral health.

New Patient Forms 


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
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Send Us A Message

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Hecox Dentistry
Ashton W. Hecox, D.D.S. & Mike W. Hecox, D.D.S.
Dentistry you, your family, and friends deserve

If you are looking for Family Dentistry, or Cosmetic Dentistry, Cozad Dental Practice, Hecox Dentistry offers dental cleanings, teeth whitening, dental restorations, emergency dental care and more. Please come and visit Cozad, NE Hecox Dentistry.

2024

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Our Office

1014 Lake Ave.Gothenburg, NE 69138Get Directions(308) 537-5252

2024

Site Map


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