Patient Forms

Thank you for your interest in Bailey & Wright Dentistry. If you are a new or existing patient that has been asked to complete paperwork prior to your next appointment, please click on the link below to complete the form online. Then click the submit button to email the PDF back to us.

Click to complete the patient form online


If you prefer to complete the form manually and bring with you to your next appointment, you may do so by downloading the form using Adobe Acrobat. Right click the link above and "Save As" to the desktop. Then open with Adobe Acrobat. If you are unable to open this file, you may need to update your version of Adobe Reader.

Bailey & Wright Dentistry

Provided Services

Bailey & Wright Dentistry offers a wide range of services for your entire family, including porcelain restoration and veneers, implants, professional teeth whitening, Invisalign®, comfortable root canal therapy, crowns and bridges, dentures and extractions, and most importantly, routine and preventive care. For a complete list of services, please click here.

Payment Options

Bailey & Wright Dentistry accepts most insurance plans and major credit cards, Care Credit®, and offers suitable payment options. As a courtesy to our patients, Bailey & Wright Dentistry will submit your dental insurance claims.

Appointment Requests

As our practice grows, we continue to accept new patients. As a result, we invite you, your friends, and family to experience quality care that Bailey & Wright Dentistry has to offer. If you are interested in scheduling a consultation, please complete the appointment request form or contact us at 317.897.6074.