Patient Forms

Our patient forms are available online below for your convenience.

Please feel free to download these forms and bring them with you on your first visit to make your experience with us that much more enjoyable.

Patient Health History Form (PDF)
HIPAA Patient Form(PDF)
Smart Care Application Form

cosmetic dentistry and sedation dentistry with a Gonzales dentist near Baton Rouge and Prairieville
NEW PATIENT ONLINE OFFER
$199 New Patient Experience
Includes X-rays, Exam, Cleaning
Periodontal therapy not included
($344 value)
CONTACT US TODAY FOR DETAILS
Now Selling MTM Clear Aligners
Clear Teeth Aligning System For Adults
Corrects minor tooth movements, space issues and more.
Takes 3-6 months on average
50% of adults are candidates!
CONTACT US TODAY FOR DETAILS

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Foote Family Dental Care
Nora Richardson-Foote, DDS
Dr. Nora Richardson-Foote and her team are eager to provide a variety of dental services, including cosmetic dentistry, family dentistry, and sedation dentistry. Call today to set up an appointment if you are in the Gonzales LA area, from Baton Rouge to Prairieville! Foote Family Dental Care - Nora Richardson-Foote D.D.S.
328 S Burnside Ave
Gonzales, LA 70737
Call: 225-716-7390 footefamilydental@gmail.com
Top dentists in Gonzales, LA
Dr. Nora S. Richardson-Foote, DDS has been recognized as one of the top Gonzales Dentistry practices.
Verified by Opencare.com

Oracare Dentist Select Provider