Periodontal Associates of Lafayette
Periodontics
Lafayette, IN
800-824-1009 /765-447-9319
  • Home
  • PATIENT INFORMATION
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Patient Registration
    • Patient Survey
    • Surgical Instructions
      • Pre-operative Instructions
      • Post-operative Instructions
  • PERIODONTAL DISEASE
    • About Periodontal Disease
    • The Mouth-Body Connection
    • Preventing Gum Disease
    • Oral Hygiene
    • When to See a Periodontist?
    • Women and Periodontal Health
    • Arestin
  • SERVICES
    • Treatment Methods
    • Prophylaxis (Teeth Cleaning)
    • Scaling and Root Planing
    • Bite Adjustment
    • Osseous Surgery
    • Gum Grafting
    • Frenectomy
    • Crown Lengthening
    • Bone Grafting
    • Sinus Augmentation
    • Guided Bone and Tissue Regeneration
    • LANAP Laser Periodontal
    • Dental Implants
    • Cosmetic Periodontal Surgery
    • Oral Cancer Exam
  • REFERRING DOCTORS
    • Referral Form
    • Links of Interest
    • PERIOFAX
      • Past PERIOFAX Questions
      • Current PERIOFAX Question
    • Greater Lafayette Study Club
      • Background
      • Format
      • Officers
  • MEET US
    • Meet Dr. Alexander
    • Meet Dr. Reef
    • Meet The Staff
    • Community Events
    • Mission and Charity Support
  • CONTACT US
    • Contact Information / Office Map

PATIENT INFORMATION

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Patient Registration
  • Patient Survey
  • Surgical Instructions
    • Pre-operative Instructions
    • Post-operative Instructions

Online Patient Survey

You may submit a survey to our office by filling out our Online Survey Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. Thank you for taking the time to tell us how we are doing!

Technical Note: *Once reviewed, scroll down to register.

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PC Users
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CLICK HERE TO FILL OUT A PATIENT SURVEY

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Address: 415 North 26th Street, Suite 303 • Lafayette, IN 47904 • Phone: 800-824-1009 /765-447-9319


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