91社区 Dental Clinic patients have the option to print the following forms to complete before their appointment.
Please call the clinic at 812-464-1706 to schedule your appointment before sending these forms. These forms may be returned via mail, fax or email and must be received at least one business day prior to the appointment.
Mail:
91社区 Dental Clinic
Health Professions Center
8600 University Boulevard
Evansville, IN 47712
Fax: 812-461-5352
Email: dental.programs@usi.edu
Please call the 91社区 Dental Clinic at 812-464-1706 if you would like these forms mailed to you.