Patient Forms

We have provided our forms online to help you save time when you arrive at Athens Dental Design. Please fill out your forms prior to arriving for your appointment, as this will help Dr. Kevin Lacour, Dr. Charles Burch and our team prepare to meet with you. If you have any questions or to schedule an appointment with our dentists in Athens, Georgia, give us a call today at 706-353-7860.

Adult New Patient Form

Child New Patient Form (Ages 12 and under)

What Our Patients Are Saying

Dr. Burch and his staff have taken care of our teeth for almost 40 years. They are the very best! These professionals feel like family and this office feels like home.

Wanda C.

Always a pleasure to see the great people at Dr Burch's office. I take a friend who doesn't drive anymore, they treat us both like family!!

Linda B.

Healthy, dependable, easy and actually fun is how I feel to have my teeth cleaned by Dr.Kathy and advised by Dr.Charlie Burch. Thank you Burch Team.

Caroline M.

Very friendly staff and I was seen promptly upon arrival. My cleaning went very smoothly and overall I am very happy with the office.

Rebecca P.

My whole family has been going to Dr. Burch for many years! Enjoy going to Dr. Burch. Staff are professional and friendly, and do a great job!.

Jane K.