Patient Forms

Please click on the buttons below to schedule an appointment or direct you to our interactive patient registration form.  You can also download PDF's you'll need if your child is scheduled for surgery at Surgicare.

Barret Professional Center

700 Barret Blvd., Suite A

Henderson, KY 42420

Phone:  270-827-5522

Fax:  270-827-8272



  • Wix Facebook page
  • Instagram

© 2021 by Dr. Fulkerson's Children's Dentisitry.  Designed by Wellness Communications, Inc.