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PATIENT FORMS
We appreciate the trust you have placed in us. We promise to do our best to live up to your expectations and help you feel comfortable during your visit. Please complete both the personal and medical information forms. This will help to expedite your visit. If you are unable to complete your forms before your visit, please arrive 15 minutes prior to your appointment time so that your dental appointment will not be delayed. The information is designed to ensure that you receive proper dental care at our office. Bring any insurance booklets or forms that you may have so we may assist you in filing your insurance claims.

Patient
Information

Medical
Information

Financial
Information
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Using all of our examination findings, we will develop a treatment plan that will restore your mouth to optimal health. All necessary treatment and fees will be discussed with you before any appointments are made. Please feel free to ask questions and make comments during all of your visits with us.

In the interest of conserving your time, we will try to complete all treatment in as few visits as possible. Except for the emergency treatment of another patient, you can expect us to be prompt.

With the recent advances in dentistry, we know that the great majority of our patients will be able to keep their natural teeth for a lifetime. Our goal is to help you and your family maintain healthy oral hygiene through restorative and preventative practice and training.

Sincerely,
Your Dental Staff

 
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