New Patient Registration Forms

We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time. To save time, download our New Patient Registration Form. You may complete the form easily by using your keyboard and mouse. Print the completed form and fax it to us or bring it with you to your first appointment.

To print our New Patient Registration Form, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

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1960 Cliff Lake Road, Suite 127, Eagan Minnesota, 55122
Phone: 651.681.1676 | Fax: 651.681.9085 | Email: info@CliffLakeDental.com

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Dr. Rauchwarter is a general and cosmetic dentist. He welcomes new patients from all over including Eagan, Burnsville, Apple Valley, Mendota Heights, Farmington, Lakeville and Rosemount. He provides dental services such as porcelain veneers, cosmetic bonding, porcelain fillings and crowns, bridges, orthodontics and digital x-rays in an anxiety free environment.