top of page

Questionairre and Medical history

Please complete these forms as best you can prior your visit.

Payment Upon Delivery of Service

We do request payment upon delivery of service.  Partial payments may be setup if there is a large balance.  

Call us if you have questions

Before or after your appointment, if you have any questions or concerns please call us.

Please reload

Prior your visit

When you call please expect us to ask you for your general information such as your name, date of birth, and phone number.  If you have dental insurance it is often much more efficient to check via your social security number.  

We will then email you or send you  link to fill out your questionnaire forms which include past dental history as well as medical information.  It would also be very helpful to send us your recent X-rays from your previous dentist within the past 3-5 years.  

A couple days prior your visit we will call to confirm your appointment.  We do reserve time for each patient so please cancel in a timely manner if you do not plan on attending your appointment.  

We will welcome you!  After getting acquainted, we will need to sign the pre-populated forms you provided or finish any questionnaires we have not yet completed.  

If it is your first time here, then we will first get to understand your past and current needs and expectations.  To complete a comprehensive exam we also will need up to date diagnostic imaging X-rays.  This imaging is all digital meaning it is more than 10x lower exposure than old film X-rays.  An entire full set of X-rays is often less radiation than an international flight.  

Some examples of the work we do you can find here.

If you had a great visit , please let the world know!  We are a growing office and would appreciate a good word.  We strive hard to make your experience the best it can be.  

If you had any work done at your visit, then don't be surprised if we call you to followup.  We just want to make sure you're doing well!

Please reload

bottom of page