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Complete Your Metro Louisville Patient Forms Ahead of Time

We know filling out paperwork can be a hassle, but even more so when you are eager to meet with your new dentist. At Kirchner Dental, we encourage you to fill out your Metro Louisville patient forms ahead of time. That way, when you arrive you’ll have one less thing to worry about.

Feel free to contact our friendly staff if you have any questions about your paperwork or need to make an appointment. We can also address any questions you may have about payment options, insurance, or anything else. We can’t wait to meet you!

Jeffersonville (812-913-6093)
New Albany (812-884-8304)
St. Matthews (502-430-3451)

You can also schedule online for all three locations.

New Patient Form
Patient’s History Form

Read Why Our Patients Love Us

“I had a broken tooth with an exposed nerve back in December. My previous dentist got …” Read More – Dillon B.

“Great service, great staff! I had been looking for a dentist for two days to pull …” Read More – Joel B.

“The staff at Kirchner dental are professional and efficient! They took excellent care of my kids …” Read More – Sew C.

“If you’re looking for a high quality dental experience, Kirchner Dental is the place to go. …” Read More – Amanda P.

“I had a great new patient experience at Kirchner Dental. Very thorough. I learned a little …” Read More – Dana H.

“Their team worked really well together was very polite and nice the receptionist at the desk …” Read More – Dena A.

“Going to Dr. Kirchner’s offices is a great experience! Wonderful people who have the best interest …” Read More – Andrew B.

“Kirchner Dental has a great team of people led by Dr Kirchner. He listened closely to …” Read More – Archie N.

“Dr. Kirchner upholds a high standard for his practice, which is reflected in his staff. Hygienists …” Read More – Tyler S.

“Everyone here is wonderful! They really care about their patients. Dr. Kirchner is very skilled & …” Read More – Angie D.

Read More Reviews

Dillon B.

I had a broken tooth with an exposed nerve back in December. My previous dentist got me in then scheduled me out for almost a month later for the root canal. Unfortunately I had to reschedule that for work in which it got infected again and abscessed. At this point, though my fault, the pain became unbearable and it would’ve been another couple weeks. However as soon as I got in pain again on Friday, I called Kirchner and Dr. English got me in immediately to put me on a steroid and provide me some pain relief and immediately got me in the coming Monday for a root canal. Dr. Alwan and Jensen performed my root canal and were wonderful through the whole process even though I was a baby and 100% was empathic and fast. Glad they got me in immediately, will 100% be switching to this place. Everyone was wonderful

Joel B.

Great service, great staff! I had been looking for a dentist for two days to pull a bad tooth with no luck and they took care of me with professionalism! Would not hesitate to recommend!

Sew C.

The staff at Kirchner dental are professional and efficient! They took excellent care of my kids and I look forward to continuing our relationship.

Amanda P.

If you’re looking for a high quality dental experience, Kirchner Dental is the place to go. Their professionalism and prompt attention to the needs of their patients are just a couple of the reasons why I choose them over anyone else. In the past, I have suffered anxiety from visiting the dentist. Not with Dr. K. He takes time with each patient, answering any questions, and makes you feel safe and right at home. The office staff is outstanding too! You will feel the difference with their practice as soon as you walk in the door! Very welcoming and friendly! I highly recommend!

Dana H.

I had a great new patient experience at Kirchner Dental. Very thorough. I learned a little bit about myself from the hygienist. She could see wear on my teeth and my enamel starting to thin. She recommended for me to follow up with my physician to be checked for acid reflux and possibly sleep apnea. Your dental appointment is a lot more than just getting your teeth cleaned. Thank you to the Dentist for filling two of my cavities that day. Very patient staff.

Dena A.

Their team worked really well together was very polite and nice the receptionist at the desk was right on task and there to help out I was very comfortable working with the staff and the doctor I would definitely recommend come to anyone

Andrew B.

Going to Dr. Kirchner’s offices is a great experience! Wonderful people who have the best interest of his patients in mind first. Anyone looking for a dentist needs to go to one of Dr. Kirchner’s locations. Dr. Kirchner and his team are very honest, professional, and never pressure anyone for anything. A great place to be!!

Archie N.

Kirchner Dental has a great team of people led by Dr Kirchner. He listened closely to my needs and he and his team did a fantastic job of bringing peace and taking care of what all I needed done and WITHOUT pain! Thanks Dr Kirchner and your whole team!

Tyler S.

Dr. Kirchner upholds a high standard for his practice, which is reflected in his staff. Hygienists balance friendly demeanors with expert knowledge to always give me the highest level of care. I have attended Kirchner Dental for over ten years with consistently excellent experiences, and I plan on returning for many more.

Angie D.

Everyone here is wonderful! They really care about their patients. Dr. Kirchner is very skilled & good at what he does. Would highly recommend!