DeHaven Family Dentistry

Dr. Todd

  • 2206 E. 10th St. – Anderson, IN 46012
  •  765.640.0262
  • Monday & Thursday: 8:00am – 5:00pm
  • Tuesday & Wednesday: 7:00am – 4:00pm

Patient Forms & Guidelines:


Appointment Guidelines:

Patients are seen by appointment only, so please call in advance so that our staff may reserve a time for you.

It is our policy to confirm patients 24 hours in advance. Our staff makes every attempt to reach you a day or two before your appointment. We would greatly appreciate it if you call  us to confirm the day prior to your appointment if you know that we will have a difficult time reaching you.

No charge will be made for missed appointments, provided at least 24 hours notice is given so that the time reserved for you may be made available for other patients. If you have a personal emergency, please let us know as soon as possible.


Forms (PDF Downloads):

Patient Information Form (PDF)

Health History (PDF)

Financial Agreement

Hippa Authorization