New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

Please download, print and complete this form before your first dental appointment.
Click here to download (604 KB)

Medical History

Please download, print and complete this form before your first dental appointment.
Click here to download (668 KB)

HIPAA Form

Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Click here to download (731 KB)

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Our Office

Dr. Joel Swan

232 S Main St
Pine Island, MN 55963
Map & Directions
 
Phone: (507) 356-4206
 

Mailing Address

PO Box 338
Pine Island, MN 55963
 

Office Hours

Tuesday*8:00am-4:30pm
Wednesday*8:00am-4:30pm
Thursday*8:00am-4:30pm
Friday 8:00am-1:00pm


*closed from 1-2pm for lunch