New & Returning Patient Forms

At Herrick Dental P.C., we try to make your visit as pleasant and stress-free as possible. Once you come in, you’ll wonder why you waited so long to schedule your appointment.

The hardest part of any treatment is taking the first step and making an appointment, so pick up the phone and dial 515-233-3778 today. Or, you can contact us online and see what we can do to keep you smiling.

To make your appointment time more productive, you may download our new patient and history forms, fill them out at your convenience, and bring them with you to your appointment. In this way, your appointment goes as smoothly as possible with as little wait time as possible


If you have any questions about becoming a new patient at Herrick Dental, give us a call 515-233-3778 right now. We’ll be happy to walk you through the process, answer questions about our staff, and talk to you about your treatment options.

We are always accepting new patients and love to meet new people. Contact us today and become our newest patient. You’ll be glad you did. We look forward to seeing you soon.

Make An Appointment:


Monday – Thursday: 8:00 AM – 5:00 PM
Friday: By appointment only





“Wonderful, friendly people and excellent at what they do! my 50 year old chipped front tooth has never looked or felt better. Dr. Herrick went out of his way to make it look perfect. I have been with the dental practice for 25 years and never had a bad experience.”


— Sue S.