Location | Contact

D. Todd Herring, D.D.S. P.C.
2929 W. 17th Ave.
Longmont, CO 80503

Tel:  (303) 772.7622
Fax: (303) 485.2719

Hours: Mon - Thu 7am - 5pm

E-mail Us | Map & Directions

New Patient Form

We are always welcoming new patients to our practice.

Click here if you have already scheduled your new patient exam and need to provide us with your health history and insurance information. All submitted information is confidential. Notice of privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

Download or print the Patient Information Form.

Financial Policy Form

This form provides new and existing patients with our financial policy regarding payment for dental services.

Download or print the Financial Policy Form.

HIPPA Notice of Privacy Practices

Notice of privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

Download or print the HIPPA Notice of Privacy Practices Form.