New Patient Form and Medical Questionnaire
Upon arrival at our clinic, you will need to fill out our new patient questionnaire and medical history. We request that you arrive at least 10 minutes early to fill out all necessary information. You may also download the form and fill it out beforehand prior to the appointment. The form may be emailed, faxed or brought in on the day of your appointment.

New Patient Online Form

Personal Information Privacy Policy

Video selection
We encourage the patients to choose a video from our vast selection to watch in the operatory during the examination. For efficiency, we request your child have their video selection ready by the time we escort them to the operatory. Our operatories are equipped with LCD televisions directly above the dental chair.

The Dental Consultation
Parental presence in the operatory is encouraged especially for the very young children who may have separation anxiety. The pediatric dentist(s) may decide at subsequent appointments if parental separation is necessary.

We prefer that the child sits in the dental chair themself however some children may require a little extra reassurance by sitting on their parent’s lap or even sharing the chair with a sibling.

	In some cases, be prepared that your child will not cooperate for an examination and we will have to conduct a “knee-to-knee” examination. Your child will probably get very upset during the examination but the examination will only take a few seconds.

In order to make the first visit “fun” and non-threatening, we usually give the child a ride in the dental chair and “count” his or her teeth. When we “count teeth,” we are really completing a dental exam and checking for caries (tooth decay). We also take this opportunity to get an idea of what their bite (occlusion) looks like.

Depending on level of cooperation, we occasionally will clean their teeth on the first visit unless already done so by the referring dentist.

If necessary, x-rays may be recommended or in some cases will be taken at subsequent sedation appointment. If your referring dentist has taken recent x-rays, please bring them with you or have them forwarded to our office. We will return all original x-rays.

The first appointment is a consultation only unless there are any emergent needs. By making the first visit short and easy, children have a better attitude about their return check-ups or subsequent treatment appointments.

Treatment Plan and Appointment Scheduling
If your child has additional treatment needs, a treatment plan will be formulated and discussed with you and your child. We will discuss different options and the risks and benefits of each option. You will be provided with a dental estimate that we will also submit to your insurance plan on your behalf.

Our financial coordinator will review the estimate with you and assist you with appointment scheduling. All oral sedative appointments must be booked in the morning.

We recommend that children see their dentist every six months so they get used to visiting the dentist regularly and any decay can be discovered and treated early. Preventive dentistry has generally been a great success for our patients and the dental profession alike.

Feel free to ask questions any time to the pediatric dentists or the staff.

We look forward to seeing you soon.