We consider your first appointment with our practice an important educational experience for both you and us. We use this time to inform our patients of diagnoses and treatment options. A thorough discussion of surgical and anesthetic procedures involved in your specific treatment plan can provide you with a level of understanding, comfort, and confidence in the work you are about to have performed in our office.

Please assist us by providing any of the following information for your consultation:

REFERRAL FORM: Any and all referral forms from your referring doctor, describing the procedures he/she recommends for you.

MEDICATIONS: A full list of all the medications you are currently taking.

MEDICAL CONDITIONS: A list of all your medical conditions, past and present. If you are unsure of your medical conditions, please notify our office during your consultation so that we can contact your family physician to obtain this information.

INSURANCE: Include all medical and dental insurance information that applies to your account. Providing this information will allow us to obtain insurance coverage for your treatment whenever possible. As a courtesy to you, we will file your insurance claim on your behalf, thus decreasing the amount of confusing paperwork that will be required of you.

X-RAYS: Please bring any recent x-rays taken by your general dentist, or request that they be mailed to our office prior to your appointment. Please understand that new x-rays may be required in our office, for diagnosis and treatment planning purposes, in addition to the ones already provided by your dentist.

IMPORTANT: A parent or guardian is required during the initial consultation if the patient is younger than 18.

If you have any questions that you would like addressed before your initial visit or if you would like more information regarding your consultation appointment, please contact us. We will assist you with any concerns you may have prior to your scheduled visit.

New Patient Online Registration Form

We have made the online registration option available for your convenience. By registering online, you can save up to 20 minutes at your initial visit. If you prefer to register in our office, we ask that you arrive at least 20 minutes prior to your scheduled appointment time.

You may also choose to print the form instead of registering online to bring into the office. If this is the case, you will still find yourself saving time in the process of registration. If you have any questions regarding the registration process, please contact us.

New Patient Online Registration Form

The new patient registration form is HIPPAA complaint to ensure your privacy.
( To read our privacy policy click here )

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