Our team at Lifetime is always here to address any concerns you or your family member has. We’ve answered a few of the most common questions that we get, but if you don’t see what you’re looking for, always feel free to call us.
New Patient Forms
Below, we’ve included downloadable versions of all of our new patient forms, whether you’re a social worker, family member, or caretaker. Just click on them, fill them out, and make sure that we receive them. If you have difficulty accessing the file, call our office so we can help your loved one get the dental care they need.
Social Workers
Referral Form Medicaid 1263 - Physician Non-Replacement of Dentures
Responsible Party
HIPAA Consent Form Medicaid 1263 - POA Notice of Privacy Practices Record of Disclosure
Dental Insurance
At LifeCycle Dental, we want your family member to be able to maintain a functional smile so they can get the nutrition they need as well as smile and speak with confidence. That’s why we’re happy to accept several dental insurances, including Molina, Superior, and Delta Dental.
Healthy Residents.