Patient Information

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WELCOME!

In order to fully understand your needs, we will ask you to fill out two forms. One is a “General Information” form and the other is a “Health History” form. Our Office Manager, Ria, can give you copies of these forms to fill out when you arrive or, if you prefer, you can print them ahead of time, complete them at your convenience, and bring them with you to your initial consultation appointment.

Click on the name of each form below to open:

General Information Form
Health History Form

We also ask that you bring a current list of any medications (with dosages) that you may be taking.

If you are being referred from another dental office, or have had dental x-rays taken within the last two years, it is very helpful if you could obtain copies of these to bring with you to your initial consultation appointment.

If you have a particularly complex medical history or a long list of medications, please also bring the contact information for your medical doctors.

If you are being referred from another dentist, that dental office may have given you a referral form specific to our office. If so, please bring that with you to your initial consultation with us. If you do not have a referral form, please bring the contact information of the most recent dentist(s) you have seen.

You can find a map and detailed directions on the “Our Location” Tab of our website, but if you need additional assistance, feel free to call us at 303-773-8752.

We accept cash, check, or the following credit cards: VISA, MasterCard, Discover, and American Express. Payment is due at the time of service; however, for patients with larger treatment plans, are also willing to work with patients to make their treatment affordable.

We are accepting new patients and referrals for dental treatment.

So contact us TODAY for your initial dental consultation.