Dr. Max. M. Martin, Jr.
Dr. Stuart G. Lacey
Dr. Travis J. Antholz
Dr. Sarah C. Donner

3445 "O" Street
Lincoln, Nebraska 68510
(402) 474-3445

At Lacey-Antholz-Donner Dentists P.C., we will collect a complete record of your health information to ensure the best management of your dental health.

Download the health history form below, complete it, and bring it in to your next appointment so that we may update your records.

Health History Form