At the Community Health Center Dental Clinic, our staff is dedicated to improving the oral health of you and your family. Our Dental Clinic provides you with comprehensive oral health care while assisting you with an appropriate and individualized treatment plan.

We treat people of all ages. From children to the elderly. We provide a friendly and stress-free environment so you can relax and receive the best dental care offered.

Below you will find the patient paperwork that needs to be completed before scheduling a dental appointment. Please print, fill out, and return the paperwork using one of the avenues listed below.


Mail: 5000 Blackmore Rd, Casper, WY 82609

Fax: 307.233.6019

Dental Records Release: if you have seen a dentist in the last 3 years please complete this and return with the registration. This form allows us to request your x-rays from a previous office and avoid an over charge to you.

When returned please include a copy of your dental insurance card (front and back), if you do not have dental insurance be sure to mention this to the patient support staff when scheduling your appointment to discuss payment options and the sliding fee scale. If you have any questions please contact our office.

Dental Patient Registration Form
Dental Health History
Dental Record Release Form
Financial and Appointment Policy
Child Policy Acknowledgment

Dental care services include:

  • Dental hygiene
  • General restorative oral care (fillings)
  • Crowns and bridges
  • Extractions, pre-molar and anterior root canals
  • General dental examinations
  • Emergency examinations, diagnostics, and treatment
  • Implant crowns
  • Limited orthodontic care
  • Teeth whitening
  • Radiographs
  • Amalgam and resin restorations
  • Complete, partial and implant dentures
  • Extractions, including some third molars
  • Adult and child prophylaxis
  • Scaling and root planing
  • Sealants
  • Nutritional counseling

To schedule an appointment, call (307) 233-6049.


Sara Smith, DDS

Lisa Swift, DMD

Keshia Brinkerhoff, RDH

Kylie Stewart, RDH