Millard Oaks Dental


For Patients


Our staff is always ready to help with you scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options. To schedule an appointment, please call us at 402.891.9000 or you can use our online Request an Appointment form.

If at any time you are unable to keep your appointment, please notify us. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.

New Patient Forms

If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.

New Patient Forms 
New Patient History form
Signature Release Statement
Acknowledgement of Receipt of Privacy Notice
Financial Policy
Privacy Notice (HIPAA)


We accept most insurance plans. Please call us to verify whether or not we are participating with a particular insurance company.

We accept MasterCard, Visa, Discover and CareCredit.

Payment can be accepted over the phone; please call the office at 402.891.9000 to make the payment.
Please call our office if you have any questions regarding an invoice and we will be happy to assist you.

Billing and Financial Responsibility

Helpful Links