Randall E. Niederkohr, DDS

Findlay Pediatric Dentist

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Forms

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Patient Dentistry Forms

Please fill the patient forms out prior to your child’s appointment and bring them with you.

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Patient & Medical Form

Click here to view and download form

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Dental Office Policy Form

Click here to view and download form

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Payment Plan Agreement

Click here to view and download form

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Outpatient Surgery Form

Click here to view and download form

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We are here to provide your children with oral care so everyone has a healthy and happy smile. If we may ever be of assistance to you to answer questions, please feel free to contact us at any time.

Board Certified Pediatric Dentist

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Contact Address

655 Fox Run Road Suite E,
Findlay, Ohio 45840

Call Us

419-595-4921

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