Patient Forms

Patient Forms

New patients of all ages are welcome at K&E Advanced Dentistry. If you have scheduled an initial appointment or are considering becoming a patient, we invite you to read through this section to get acquainted with how we conduct the business of dentistry . . . with a uniquely human touch.

What to expect

Taking a few moments to prepare for your appointment helps to relieve anxieties about beginning a relationship with a new dental team. Information throughout this website is a great place to learn about our staff, and to familiarize yourself with the broad range of preventive, restorative, and cosmetic care we offer. On the day of your appointment you will be greeted by smiling faces in a bright, warm atmosphere. We think you will be pleasantly surprised at the combination of modern technology, and personal attention you receive here.

New patient forms

Please complete each form and submit online to expedite your first appointment. If you are unable to complete the forms you must arrive 15 minutes early for your appointment.

Franklin Office 

Existing patient yearly update forms

Directions to our office

Our office is in Franklin, near the Atrium Medical Center in the East Pointe Plaza office complex (often referred to as the “Paychex Building”).

Our commitment

We promise to provide quality dental care and dental experiences that bring value to the lives of our patients. Insurance status will not limit the treatment options we recommend or the services we provide. All patients are treated with dignity, respect, and compassion. Our goal is to form lifetime relationships with our patients, and to maintain a strong reputation within the communities we serve.

Call (855) 912-7677 in Franklin

K&E Advanced Dentistry thrive to serve patients with impressive and convenient care to help them be healthy amidst busy lifestyles. Dr. Scott Everhart, Dr. Mamta Kori, Dr. Farhad Jamshidi, Dr. Nadia Mirza & Dr. Marcell Leseuer are committed to providing quality, advanced treatments for any simple or complex dental issues with a personalized touch. The team of dentists, with a variety of capabilities in different specialized areas, serves on the values of compassion and interactiveness to provoke responsive and effective treatments with the help of their years of expertise and knowledge.

We Are Here To Serve You

We love insurance and accept most plans. Convenient extended hours to fit your busy work and school schedules.

Find Our Dental Savings Plan

What Our Patients Are Saying

No Insurance? No Problem! x
With our in-house Dental Savings Plan, we have removed the financial stresses of visiting the dentist. For just $349 per year you will no longer have to pay each time you go in for your routine cleaning & exam.

In addition, if you are in need of any additional dental care, virtually every service we provide will receive a 20-30% discount.