Patient Forms

Dr. Eversole and Dr. Sullivan run a patient-focused practice so we can give your family the care they need for a healthy smile. Our dentists also help our patients by having our new patient forms available online. You can print and complete these forms before visiting us for dental care in Greensburg, Indiana. Call us at the practice of Robert Eversole, DDS, PC if you have questions about the information needed on our new patient forms. We are happy to assist you!

Downloadable PDF Forms
HIPAA FormPatient ChartFinancial Policy


Financial Options

The dental care we provide at the practice of Robert Eversole, DDS, PC is focused on our patients and what works best for them. When you and your family visit our dentists in Greensburg, Indiana, we accept several financial options so you can easily pay for service fees such as:

  • CareCredit
  • Cash
  • Checks
  • Credit cards

Feel free to call Dr. Eversole and Dr. Sullivan if you have questions about the different types of financial options we accept in our office. Our team will be glad to help you.

Online Bill Pay

We now offer online bill pay which you can access here.
Note: You will need to contact the front desk (812.663.8088) for your personal password.