HomeMeet_Dr_ZuerleinMeet_Our_StaffTour_Our_OfficeOffice_HoursMap_and_DirectionsDental_ServicesSmile_GalleryTechnologyPatient_InfoContact_UsDoctor_Referral
New Patient Registration Forms

We attempt to see you at your appointed time as much as possible since we believe your time is as valuable as ours.  If you would like to save some time, download our New Patient Registration form.  Please fill it out and bring it with you at your first appointment.

Dental insurance is a contract between the insurance company and the patient, not the dentist.   Our dental office will complete and mail all dental insurance forms for you as a courtesy.   We will do our best to help you receive the maximum benefit that your insurance plan allows.   Your insurance company will reimburse you directly.

To print our patient registration forms, please click on the link above .  You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

 

Brian W. Zuerlein, DDS., PC
10110 Nicholas Street
Omaha, NE 68114
Phone : (402) 393-4400
www.BrianZDental.com
email: DrZ@BrianZDental.com