121 N Main Ave, Bolivar, MO 65613

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Please download and complete the appropriate forms below.  We will need each of these completed forms at the time of your first appointment.  To save time and make it easier, please feel free to complete the forms at home before your first appointment.  

Once you have completed each of the forms, please bring these with you to your appointment.  If you choose, you may also email them to our office at our email address below or place them in an envelope and mail them to our physical address.  Our contact information is below.  

Blue Cedar Dentistry

121 N Main Ave

Bolivar, MO 65613


  • Friendly Doctor
  • Comfortable Office
  • Ultrasonic Teeth Cleaning
  • Friendly Staff
  • Convenient Location
  • Convenient Appointments
  • Comprehensive Exams
  • Digital Cameras
  • Accessibility
  • Modern Equipment
  • High-Quality Materials
  • Digital X-Rays

Request an Appointment

This is NOT an official booking.  Please request the day and time you prefer.  There's no guarantee you will get the time you request through this form.  We will contact you with confirmation or other options.  You can always call during our office hours to book an appointment at 417-422-4540

    121 N Main Ave

    Bolivar, MO 65613




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