Call: (515) 224-5999
1089 Jordan Creek Parkway,
Suite 100, West Des Moines, IA 50266
Request an appointment

New Patients

Patient Forms
For your convenience, we have supplied forms that can be filled on line. Click on the links below, complete the information and click the submit button. We will have them all ready for you when you make your first visit! We look forward to greeting you!

» New Patient Registration Form
My smile changed very quickly
with Invisalign! The end result was better than I ever expected and it was easy. Everyone at Plaza Dental Group is friendly and very helpful and supportive. I strongly recommend Invisalign to anyone who wants to improve
their teeth quickly and easily.
Mark Manning, Des Moines, IA
Click below to read more Rave Reviews.
Appointment Request
Appointment Date *
Your Preferred Time
Your Name *
Email Address *
Your Contact Number *
()
Other Specific Comments *
Indicates Required *