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Three happy boys in dentists' office

New patient resources

Thanks for choosing us as your child’s dental home

We can’t wait to meet you and your child. Here’s a roundup of all the essential information you need to know about becoming a patient. Keep scrolling to access forms, learn about payment and insurance options, and get a sneak peek of our kid-friendly office.

Three happy boys in dentists' office
Dr. Juntgen with toddler patient

Onboarding forms & disclosures

We’ve made all our essential forms and information available online so you can complete them in advance. Need help determining which forms to complete? Call us at 317-846-5893.

Required new patient forms

New patient packet: We use the basic information you share when completing this packet to provide your child with personalized care.

 

Additional forms

  • Communication & sensory questionnaire: This form lets you share your child’s unique communication methods and preferences, helping us tailor their visit for maximum comfort.
  • Tongue-tie form: If diagnosed with a tongue-tie, we use this form to assess the severity of a child’s frenum in restricting movement to make informed treatment recommendations.

Important information

Dr. Juntgen

Refer a patient

Hamilton County Pediatric Dentistry provides stress-free kids’ dental services to all children, including those with special needs. If you need to refer a patient to our practice, please complete and return our patient referral form via email or fax.

Tour our office

Hamilton County Pediatric Dentistry’s warm and friendly office is designed with your child’s comfort in mind. From the colorful décor to the kid-friendly amenities, we strive to make every visit a positive experience.

Convenient and flexible

Billing & insurance

Payment options at Hamilton County Pediatric Dentistry include:

  • Cash
  • Check (restrictions apply)
  • Credit card (we accept Visa, MasterCard, Discover & American Express)
  • In-office financing (for established patients)

24/7 online bill pay

We accept payment online through our secure portal. Click the button to get started.

Make a payment

Hamilton County Pediatric Dentistry is a fee-based provider and accepts all insurance plans. Dr. Laura Juntgen and our team will see any patient, regardless of their family’s insurance status.

We’re an in-network provider for Delta Dental only. If you have insurance from another group, they may cover part of your out-of-network bill, but your family will be responsible for the remainder.

See what families are saying about us

Tips on keeping young teeth and gums healthy into adulthood

Now accepting new patients

Schedule a pediatric dentistry visit today