
Sunshine Pediatric Dentistry of Evansville
New Patient Forms
Prior to your child’s appointment, we ask that
you download and print the New Patient Packet (PDF) to complete all required forms.

New Patient Packet includes
the following individual forms.
General Patient Information
HIPAA – Notice of Privacy
Financial Guidelines
Financial Responsibility Agreement
Referring Physicians? Please use the form below.
Referring Physician Medical Clearance Form

★★★★★
Welcoming Staff
“All of the staff members are wonderful!! my children (all ages) absolutely love them. They work with you if you need to get scheduled in a pinch too.”
- Ashley W.
★★★★★
Great Knowledge
“I recommend this dentist to anyone and everyone who is in need of one. They make the kids feel comfortable as well. I give them 100 stars and am so glad I bring my kids here.”
- Sheena S.
★★★★★
Happy Kiddos
“Love Dr. Jindal and her awesome staff. They are so good with my kiddos. Definitely recommend them.”
-Amanda E.
★★★★★
Returning Smiles
“Took my kids here for the first time a few weeks ago and they loved it! Everyone was so good to them. The kids actually look forward to going back to the dentist!”
-Brittaney S.
★★★★★
Smile Goals
“My kids and I loved it there! Very friendly, patient, kind, funny staff! Was able to get my 3yr old to get his x rays done and a cleaning! My daughter also really likes the staff. Also super happy about their free t-shirt!”
-Dominique G.
★★★★★
Trusted Treatment
“Dr. Aditi Jindal is a very experienced professional and is great with kids, which makes them very comfortable around her. Definitely recommend her, someone I can trust for my child’s treatment.”
-Shradha G.

Contact Us
Sunshine Pediatric
Dentistry of Evansville
701 N Weinbach Ave, Suite 910
Evansville, IN 47711-6607
Click for map & directions
Hours
Mon
Tue
Wed
Thu
Fri
Sat
Sun
8:00 am – 5:00 pm
8:00 am – 5:00 pm
8:00 am – 5:00 pm
8:00 am – 5:00 pm
By Appointment Only
Closed
Closed