Ruggless Dental

New Patient Forms

Welcome to Ruggless Dental!
We’re so glad you’re here. To save time on your first visit, fill out our online New Patient Forms below. Give us a call with any questions — we’re happy to help!

New Patient Registration

Not finding what you need?
If you have difficulty using our website, please email us or call us at (217) 787-0212
View the ADA Accessibility Statement