Patient Forms

Lacour Family Dentistry has made our patient forms available online! We encourage you to complete your patient forms before your appointment with our dentists in Lilburn, Georgia. This can save you time in our office and helps you meet with Dr. Kevin Lacour, Dr. Jeremy Smith or Dr. Stuart Knight more quickly. If you have questions, please feel free to contact our office at 770-921-6606. We are always happy to help you.

Adult New Patient Form

Child New Patient Form (Ages 12 and under)

HIPAA Notice of Privacy Practices

Medical History Update (Current Patients Only)