New Patient Forms

Thank You for choosing Fifth Avenue Dental as your dental office!

We have a couple of forms available for you to print and complete prior to your appointment. If you have any questions regarding these forms, please call, 763.421.5320 or email us at office@anokafifthavedental.com. Please bring your current ID and insurance card to your appointment.

Adult Registration Form

Fifth-Avenue-Dental-Homepage-New-Patient-Adult

FILL OUT ONLINE FORM

Child Registration Form

Fifth-Avenue-Dental-Homepage-New-Patient-Child

FILL OUT ONLINE FORM

I am a pre-dental student from the area and was looking to get some shadowing experience in a dental clinic. When I called Fifth Avenue dental two years ago, they welcomed me in with open arms! I am still currently shadowing there, and each dentist is more than willing to explain and answer any of my questions regarding dentistry. When I walk into this clinic, I feel as though I am at home and always welcome. Because of all the staff at this clinic, I am more motivated than ever to enter the field of dentistry. I am beyond thankful for my experience here and all those who have helped me in my journey! Thank you Fifth Avenue Dental!

Jenna J.

I had suffered from dentist anxiety for many years…Fifth Avenue Dental was so kind and patient with me. They had many options to help me stay calm. I now have zero anxiety and look forward to going to the dentist! The management, hygienists, and dentists feel like friends. Both of my kids had fast braces and they both had their braces on and off in 10 months!! They strive to foster a sense of community with their patients having raffles and prizes – one year I won a 4 pack of tickets to the state fair and the coupon book! Fifth Avenue Dental also gives back to the local community in so many ways. I highly recommend them!

Amell I.

I had a great experience at 5th Ave Dental. Dr Englund was wonderful. He had good suggestions for me to try at home. My dental hygenist was great. She recommend I try a specific toothpaste. The front desk staff was very friendly and the patient care coordinator was very efficient.

Amy A.

The crown prep was a painless procedure with Dr. Schroeder and her assistants were always checking to if I was having any discomfort during the procedure. The office followed up the next day to check up on me, and the crown fitting went flawlessly. Will always be my dentist.

Tim W.

New Patient Forms

Thank You for choosing Fifth Avenue Dental as your dental office!

Adult Registration Form

Child Registration Form

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