Glen Lake Dental
Comprehensive Care for All Ages
Glen Lake Dental
Comprehensive Care for All Ages
Request Appointment
Leave a Google Review
(952) 935-5212
General and Aesthetic Dentistry
14421 Excelsior Blvd.
Minnetonka, MN 55345
Pay Online
Home
About
Our Team
Technology
Services
View All
Children's Dentistry
Cosmetic Dentistry
Crowns and Bridges
Dental Implants
Dentures and Partials
Emergency Dentistry
Family Dentistry
General Dentistry
Gum Disease Treatment
Invisalign® Clear Aligners
Patient Info
View Patient Info
Forms
Financial
FAQs
Contact
Glen Lake Dental
>
New Patient Forms
New Patient Forms
Save time by filling out forms ahead of time. Feel free to call us with any questions!
Patient Registration
Open
Download
Medical History Form
Open
Download
Child Medical History Form
Open
Download
Dental History
Open
Download
HIPPA Form
Open
Download
Authorization and Request for Previous Dental Records
Open
Download
Quick Links
Patient Info
Financial Info
Frequently Asked Questions (FAQs)
Hours, Location and Contact Information
Still need an appointment?
Contact Us
If you have difficulty using our website, please
email us
or call us at
(952) 935-5212
View the
ADA Accessibility Statement
Turn on ADA Views
OK!
×
×
Contact Us Today
Give Us A Call
Glen Lake Dental -
(952) 935-5212
Send Us an Email
Request an Appointment
Contact Us
Ready to Schedule an Appointment?
Book Online
Have Questions? Contact Us:
Required Field
Your Name:
Phone:
Email:
Are you a new patient?:
Are you a?
New Patient
Current Patient
How would you like us to contact you?
Please choose
Email
Call
How did you hear about us?
Please choose
I'm an existing patient
Google/Bing
Mailer
Word of mouth
Social media
Other
Who Referred You?:
Appointment Preferences
Monday
Tuesday
Wednesday
Thursday
Friday
Your Message:
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.
Sending...
×
This Patient's Experience
Loading Testimonial...
Loading Case...