Edward J. Lacy Jr. D.D.S., P.C.
The following forms should be filled out and submitted to our staff prior to your primary visit. Please feel free to download and print these forms. Once filled out, you may scan and email them to:   drelacyjr@comcast.net    You may also fax them to:   970-635-9737   or bring them in before your 1st visit.
Patient forms