Patient Forms

Please download and complete the following forms, then return them to the office or bring them with you during your first visit.

Consultation is provided at no charge and the procedure may be done the same day if deemed necessary.

Completing the forms ahead of time will help make your first visit go more quickly and smoothly.

 

 

 

Keith Gjebre, DMD

510 Pellis Road
Greensburg, PA 15601

724-205-9610

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Gregory Lane, DMD

4623 State Route 136
Greensburg, PA 15601

724-205-9610

Get Directions