Whether you’re new to the Pineville/Alexandria community (welcome!), or you’re just looking for a better dental experience, you’ve come to the right place. We love seeing new faces and new smiles in our office, and we would be happy to welcome you to our dental family with open arms! We’ve provided all of the information you need to know right here on our website. Feel free to get to know Dr. Gauthier and our team, explore our mix of services and see why our patients love coming to the dentist. When you’re ready to schedule your first visit, please find your New Patient Forms below.
Please assist us by providing the following information at the time of your first visit:
- Any x-rays taken by a previous dentist, if applicable.
- A list of medications you are presently taking.
- If you have dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
PATIENT REGISTRATION (online)
PATIENT REGISTRATION (download)
All patients under the age of 18 must be accompanied by a parent or guardian.
Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).
We look forward to smiling with you!