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

Dentist Randolph

Randolph Location

105 Broadway,
Randolph, NE 68771

(402) 337-0089

Bernecker

Our Dental News

Dentist Randolph

The Optimal Oral Health Routine | Family 1st Dental of Randolph

If it has been more than six months since your last dental visit, it may be time to reevaluate your oral health routine with the help of a dentist in Randolph. While maintaining a good at-home oral care routine is […]

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What is a Cosmetic Dentist? | Randolph NE Dentist

At Family 1st Dental – Randolph, we understand that a beautiful smile can boost your confidence and overall appearance. While many people think of cosmetic dentistry as a specialty, it’s actually an art that can be mastered by a skilled […]

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The Connection Between Gum Disease and Heart Disease: What You Need to Know | Dentist in Randolph

At Family 1st Dental – Randolph, we care about more than just your smile, we’re committed to your overall health. One connection that is often overlooked is the link between gum disease and heart disease. Research shows that the bacteria […]

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