Churchman & Roberts Dentistry
3632 Common Street
Lake Charles, LA
337.478.4022
About
Dr. Mary Seale Churchman, DDS
Dr. Katie Courville Roberts, DDS
Dental Services
Forms
Contact
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Forms
Download the forms below and fill out before your first visit. All forms are in PDF format. If you do not have a PDF viewer you can download one here.
Consent Form (PDF)
Download & Print
New Patient Welcome (PDF)
Download & Print
Notice of Privacy Practices (PDF)
Download & Print
Acknowledgement of Receipt of Notice of Privacy Practices (PDF)
Download & Print
Navigation
About
Dr. Mary Seale Churchman, DDS
Dr. Katie Courville Roberts, DDS
Dental Services
Forms
Contact
Home
Address & Hours
3632 Common St.
Lake Charles, LA 70607
337-478-4022
Mon - Thurs | 8am-5pm
Friday | 8am-12pm
Latest News
Congratulations to Dr. Churchman and Dr. Roberts on being voted in Acadiana's Top Dentists list of 2015 by peers!
Address & Hours
3632 Common St. Lake Charles, LA 70607 337-478-4022
Mon - Thurs
| 8am-5pm,
Friday
| 8am-12pm
Services
Diagnostic Exam
Dental Cleanings
Bondings
Fillings
Extractions
Implants
Restoration
Sealants
Crown & Bridge
Veneers
Tooth Whitenings
Dentures