For greater convenience, our dentists, Dr. William Ham and Dr. Michelle Ham, provide online patient forms to help you save a bit of time before your visit to Russellville Family Dentistry. Before coming to our dental practice in Russellville, Kentucky, please fill in and submit the form below, or if you prefer, you may print it out and bring the completed form with you to your first appointment. If you have any questions, please give us a call at 270-726-6490 today to learn more.

Online Patient Form

Contact Us

phone-icon 270-726-6490

pin-icon580 Hopkinsville Rd.
Russellville, KY 42276

clock-icon Monday-Thursday 8am-4pm