Please fill out the forms below, sign, and return them at your visit.

Registration Form

Dental History

Medical History

Sleep Disordered Breathing Report

Sleep Questionnaires

Over the years, our laboratory has had the opportunity to work with many talented dentists, but none exceed the talent and commitment to excellence possessed by Dr. Schroder. He has a passion to provide his patients with excellent care, and it is evidenced through the quality of his work. Routinely, his case planning, preparations, and impressions are flawless. It truly is a pleasure to work alongside Dr. Brian Schroder.

Chess Moore
Aesthetic Reconstructions Dental Laboratory

I have had the honor of fabricating crowns and bridges for some of the most famous dentists in America for over twenty-five years. This vantage point allows me to know, understand and see what true high-end dentistry is. Dr. Brian Schroder meets or exceeds all levels of restorative excellence and I would recommend him to my family or anyone who seeks exceptional dentistry. I am a Raving Fan.

Dene LeBeau
President, LeBeau Precision Aesthetics