Patient Forms

Are you on your way to Taylor-Wagner Family Dentistry, but you are a little stressed out about spending most of the time filling out paperwork? Well, we have something that will wash your stress away. We provide your patient forms right here on this page! We invite you to print them, complete them at home, and bring them into the office with you. If you do this, your wait time will be cut exponentially, and we can give you your dental care much faster! We understand that your time is valuable, which is why we do not plan to waste it at our office. Please fill out the paperwork and bring it into the office with you to ensure a positive and efficient dental experience! If you have any troubles completing or locating the forms, please feel free to contact us at our dental office in Jonesboro, Arkansas. Dr. Taylor and Dr. Wagner are so excited to work with you!

Downloadable PDF (Fill it out on your computer and print, or print it to fill out by hand.)

Financial Options

Our team at Taylor-Wagner Family Dentistry is so excited to work with you! We love what we do, and we are happy to help you find the smile you have been looking for. We are dedicated to your happiness, and a way of proving that is by accepting all insurance providers, we are also providers for the following:

Delta Dental Smiles for Kids


MCNA for Kids


Delta Dental


BCBS Arkansas



  • Total Life







We also accept the following payment forms:


Credit Card


Debit Card

Dr. Taylor and Dr. Wagner are here to give you the dental care you need—no matter the type of insurance plan or payment form you provide. Your oral health is important to us, and we are here to help you in any way we can. If you have any questions about your financial options for dental care in Jonesboro, Arkansas, please feel free to give us a call.


Direct Dental Care

Uninsured? You may want to consider enrolling in a Direct Dental Care plan. Direct Dental Care offers basic and enhanced dental plans designed to cover the cost of routine dental services that every patient needs. Each plan also comes with discounts on additional preventive, restorative, and cosmetic services. Our team never wants our uninsured patients to forgo dental care because they are worried about cost. To learn more, we recommend contacting our office or visiting Direct Dental Care's website.

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