Please assist us by providing the following information at the time of your initial evaluation:
- Your referral slip and any X-rays if applicable
- A list of medications you are presently taking
- A list of your medical conditions
If you have dental insurance, bring your current insurance card. If you don’t have one, we will need the subscriber number, group number, and phone number. This will save time and allow us to help you in the processing of your claim.
IMPORTANT: All patients under the age of 18 years must be accompanied by a parent or guardian at the evaluation visit.
Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.).