Dental Staff in Rochester, NY

Patient Forms & Information


For over 30 years, individuals and families have trusted our practice for their general and cosmetic dentistry needs. Our practice is locally-owned and operated by Dr. Jim Knight, who took over the practice from his father in 1984. Today, he and his daughter Dr. Amy Seehusen and their dedicated staff provide treatments to help every patient improve their oral health.

Patient Forms

We are always welcoming new patients into our practice. To save time before your first visit, please print and fill out the new-patient forms below and bring them with you to your appointment.

Acknowledgement of Receipt of Notice
Agreement to Receive Electronic Communication
Notice of Privacy Practices
Request for Access
Request for Restricted Use or Disclosure

If you have questions regarding our practice, our services, or to schedule an appointment, please contact us today at 515-573-8251. We look forward to hearing from you and are happy to answer any questions you have.