Elizabeth Evans, DMD
Cosmetic and Family Dentistry
Call: (712) 792-6455

Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Notice of Private Policy

Privacy Practices

Covid-19 Screening Form 

Covid-19 Consent Form

 This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Office Location

  • Carroll
  • 2008 N. US Hwy 71
  • Carroll, Iowa
  • 51401
  • Map & Directions
  • Call: (712) 792-6455