Patient Forms

We want you to get the most out of your visit with our dentist and team. To save time (and stress) during your first dental appointment at our dental office in Omaha, Nebraska, you can complete and submit your information using the online form below. By filling out your paperwork now, you will give Dr. Jared M. Homan the chance to learn more about your smile and begin creating your personal treatment plan.


To schedule your visit or get help with your form, please call our office at (402) 498-0400 and a member of our team will be happy to assist you.

We Love Our Patients, and They Love Us!

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Omaha, NE

11840 NICHOLAS ST, STE. 210, Omaha, NE 68154


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Office Hours

  • MON - FRI8:00 am - 5:00 pm
  • SAT - SUNClosed
(402) 498-0400