Skip to main content
Skip to content
507-437-6312
Schedule an Appointment
Potach Mitchell Dental Clinic logo featuring dental professional branding and practice name
  • About
    • Our Office
    • Meet Our Doctors
      • Dr. Kurt S. Potach
      • Dr. Zachary Prouty
      • Dr. Richard L. Mitchell
      • Dr. Sarah Skinner
    • Meet Our Team
    • Words From Our Patients
  • Services
    • General Dentistry
      • Dental Exams
      • Dental Cleanings
      • TMJ Treatment
      • Sleep Apnea Treatment
    • Cosmetic Dentistry
      • Teeth Whitening
      • Bonding and Contouring
      • Porcelain Veneers
    • Restorative Dentistry
      • Dental Fillings
      • Dental Crowns and Bridges
    • Prosthetic Dentistry
      • Dental Implants
      • Dentures
    • Endodontics/Root Canals
    • Oral Surgery
    • Kid-Friendly Dentistry
  • For Patients
    • Your First Visit
    • Insurance And Financing
    • Leave a Review
      (opens in a new tab)
    • Our Blog
  • Contact
507-437-6312
Schedule an Appointment
Book Now
507-437-6312
Potach Mitchell Dental Clinic logo featuring dental professional branding and practice name

Patient Forms

Dental professional performing examination on patient in clinical treatment room
Green botanical branch with oval leaves on white background, dental clinic logo element.
Patient smiling in dental chair wearing yellow bib during examination at dental clinic.

Downloadable Forms for New Patients

We’ve made it easier for you to prepare for your initial consultation/appointment by providing online forms that you can download and fill out before your visit.
Demographic
(opens in a new tab)
HIPAA
(opens in a new tab)
Insurance Signature
(opens in a new tab)
Medical History
(opens in a new tab)

New Patients Appointments Welcome!

Schedule an Appointment
507-437-6312
Dental professional performing examination on patient in clinical treatment room
Dental professional performing examination on patient in clinical treatment room

Words From Our Patients

Google logo with five yellow stars indicating a five-star review rating for Potach & Mitchell Dental Clinic.
people love us on google
(opens in a new tab)
Here we are in a pandemic and I have never felt safer at the dentist! Air purifiers, double masks, face shields, gowns, gloves, special air filtering machine to name a few. Dr. Potach and Dr. Mitchell have provided a safe environment for their patients to make it possible to continue with our dental health. Thank you for going above and beyond! I truly had no hesitations or concerns! Thank you again, Nancy.
Five gold stars in a row representing a five-star rating or review.

- nancy b.

Whether for routine cleaning or for needed care, a visit to the Potach/Mitchell Dental Clinic is welcoming, pleasant, and safe. They practice professional covid safety via equipment upgrades and employee procedures. Smiles cannot be hidden by masks as they come through the eyes. Care makes one feel like a true patient and not just a paying customer. I always leave grateful for their care!
Five gold stars in a row representing a five-star rating or review.

- Ronald J.

I'd like to acknowledge Barb, a hygienist here. What a refreshingly delightful woman. Barb not only looks out for your oral health but also focuses on your financial well-being as well. She's helps her patients from incurring any unnecessary charges by truly looking out for the patients best interest. Her honesty and sincerity are truly a delight.
Five gold stars in a row representing a five-star rating or review.

- Joseph C.

Excellent care, as usual! Received some great ideas from Evan on how to get more fluoride on a daily basis and how to help my dry mouth problems. New appointments were set up quickly and easily. Very helpful and friendly staff. I can't believe how afraid I used to be to go to the dentist -- now it's (almost!) a pleasure.
Five gold stars in a row representing a five-star rating or review.

- Marilyn J.

It is always nice to do business with this dental office; the entire staff is always professional, helpful and friendly. Dr. Potach takes the time to explain options about my dental care and when working on my teeth he is careful and patient with the numbing process to be sure he doesn't inflict any unnecessary pain (I really appreciate that). Thank you.
Five gold stars in a row representing a five-star rating or review.

- S M.

Potach & Mitchell Dental Clinic logo featuring stylized tooth design in blue and white.Potach & Mitchell Dental Clinic logo featuring stylized tooth design in blue and white.

Schedule an appointment

Dental professional performing examination on patient in clinical treatment room

607 1st Dr. NW Austin, MN 55912

(opens in a new tab)

507-437-6312

Google Map Icon(opens in a new tab)
Find Us on Google Maps
(opens in a new tab)
Apple Map Icon(opens in a new tab)
Find Us on Apple Maps
(opens in a new tab)
Potach & Mitchell Dental Clinic logo with green leaf design element
(opens in a new tab)
(opens in a new tab)
(opens in a new tab)

Monday – Thursday: 8 a.m. – 5 p.m.
Friday: 7 a.m. – 2 p.m.

© 2026 Potach & Mitchell Dental Clinic. All Rights Reserved. | Privacy Policy | Terms of Service | Sitemap | Accessibility
Potach Mitchell Dental Clinic logo featuring dental professional branding and practice name
  • About
    • ← Back
    • Our Office
    • Meet Our Doctors
      • ← Back
      • Dr. Kurt S. Potach
      • Dr. Zachary Prouty
      • Dr. Richard L. Mitchell
      • Dr. Sarah Skinner
    • Meet Our Team
    • Words From Our Patients
  • Services
    • ← Back
    • General Dentistry
      • ← Back
      • Dental Exams
      • Dental Cleanings
      • TMJ Treatment
      • Sleep Apnea Treatment
    • Cosmetic Dentistry
      • ← Back
      • Teeth Whitening
      • Bonding and Contouring
      • Porcelain Veneers
    • Restorative Dentistry
      • ← Back
      • Dental Fillings
      • Dental Crowns and Bridges
    • Prosthetic Dentistry
      • ← Back
      • Dental Implants
      • Dentures
    • Endodontics/Root Canals
    • Oral Surgery
    • Kid-Friendly Dentistry
  • For Patients
    • ← Back
    • Your First Visit
    • Insurance And Financing
    • Leave a Review
      (opens in a new tab)
    • Our Blog
  • Contact

507-437-6312

607 1st Dr. NW Austin, MN 55912

(opens in a new tab)
Schedule an Appointment