Patient Forms

If you would like to make your first appointment as smooth as possible, you can fill out your forms before you come in! Just download and print the forms below and fill them out before your appointment.

Feel free to contact our office at (575) 297-0475 with any questions or to schedule your appointment.

Thank you for choosing Advanced Dental of Las Cruces!

Printable Forms:

Patient Registration

Medical History

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Insurance

At Advanced Dental of Las Cruces we offer a variety of payment options to help you afford the dental care you need. We accept most insurance plans, and our practice is in-network with four major insurances plans. We will work alongside you to make sure the correct paperwork is filed with your insurance company.

We also accept the following forms of low-interest payment options:

Proceed Financing

Our In-House Membership plan allows you to receive all your exams, cleanings, and X-Rays for just $325 per year. Give us a call today for more information!