New Patient Forms
Jackson, Bells, Milan & Lexington, TN


Patient filling out a form from Premier Dental Center The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at 731-300-3000 and our staff will be happy to help you.

Bells
Office

(731) 663-9999

7019 US-412
Bells, TN 38006

Hours:
Mon: 11am - 6pm
Tue: 8am - 5pm
Wed: 9am - 5pm
Thu: 7am - 2pm
Fri: By appt
Sat & Sun: Closed



Jackson
Office

(731) 300-3000

80 Exeter Rd
Jackson, TN 38305

Hours:
Mon: 7am - 7pm
Tue: 7am - 7pm
Wed: 9am - 5pm
Thu: 7am - 2pm
Fri: 8am - 3pm
Sat & Sun: Closed



Milan
Office

(731) 613-2800

15199R S. 1st St.
Milan, TN 38358

Hours:
Mon: 11am - 6pm
Tue: 8am - 5pm
Wed: 9am - 5pm
Thu: 7am - 2pm
Fri: By appt
Sat & Sun: Closed



Lexington Office

(731) 617-9818

689 W Church St, Lexington, TN 38351
Hours:
Mon: 11am - 6pm
Tue: 8am - 5pm
Wed: 9am - 5pm
Thu: 7am - 2pm
Fri: Closed
Sat & Sun: Closed
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New Patient Forms | Premier Dental - Jackson, Bells, & Milan, TN
At Premier Dental Center, the following forms are provided to our patients online for download. Click here to download the forms.
Premier Dental, 80 Exeter Rd, Jackson, TN 38305, 731-300-3000, premdent.com, 1/15/2026, Key Phrases: Dentist Bells Jackson Milan Lexington,