Save Time! Our Forms are Online.

Here are links to the medical history form new patients are asked to fill out. Click, print, fill it out and you're already ahead. (Form will open in a new browser window. Adobe Acrobat Reader--search under Programs on your Start button--is required to open/print these forms.)

  • Medical History Form (Please be patient, make take a few minutes to download - will open in a new window)
  • Financial Policy (Please be patient, make take a few minutes to download - will open in a new window)

Here's How to Reach Us

Mail

Fort Wayne Smiles, P.C.
Dr. David Reichwage
2031 Reed Rd.
Fort Wayne IN 46815

Click here for a map.

Telephone

(260) 426-1086

Fax

(260) 426-1046

Email

FortWayneSmiles@Yahoo.com

Office Hours

Monday
Tuesday
Wednesday
Thursday

9:00 am - 5:00 pm
9:00 am - 5:00 pm
9:00 am - 5:00 pm
9:00 am - 12:30 pm

*Please note: Mon-Wed we are closed 12:30 - 2 pm for lunch.


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