Accessible Version
SW Nebraska Dental Center

New Patient Forms



Save time waiting in our office by filling out necessary forms online. 

Feel free to call the office if you have any questions.

Patient Portal and Forms

Office Notice of Privacy Practices

Website Notice of Privacy Practices

Website Terms and Conditions

Website Disclaimer

Notice of Nondiscrimination & Language Assistance

Americans with Disabilities Act Accessibility Statement

Click "Book Now" to conveniently schedule an appointment online!
If you have difficulty using our website, please email us or call us at (308) 345-2273
View the ADA Accessibility Statement
Need to schedule an appointment? Call us at (308) 345-2273, email us at, or schedule online by clicking the "Schedule Online" button!