Patient Forms

To provide you with the most efficient new patient experience, please complete the forms below and bring them to your first appointment. Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems completing the forms, please contact our office.

Visit Our Randolph Dental Office

Randolph Location

105 Broadway,
Randolph, NE 68771

(402) 337-0089

Bernecker

Our Dental News

best dentist near me

We’d Love to See You More | Dentist in 68771

Have you ever wondered how often you should be visiting our team? Being proactive rather than reactive with oral health could help prevent long term tooth loss and other dental problems. According to a study published in the Journal of […]

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best dentist near me

9 Things You (Probably) Didn’t Know About the Tongue | 68771 Dentist

We use our tongues every day to talk, taste, and swallow, yet we rarely take time to think about this flexible organ. Here are 9 things you may not know about the tongue: The longest recorded tongue was more than […]

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Seniors and Oral Health | Randolph Dentist

Your teeth age with you. It’s important to keep them strong and healthy even as you grow older. Seniors are at a higher risk for developing periodontal disease. In addition to getting a regular dental examination, here are some other […]

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