Our Office:

Date of last Prophylaxis:

Comments:

Your first appointment will consist of an initial examination, cleaning, and radiographic evaluation unless otherwise specified.

Please Bring to Your First Appointment

1. X rays from the referring dentist, if given to  you
2. X-rays must be of diagnostic quality or new x rays will be taken.
3. A list of your medications and other health information.
4. Any dental/medical insurance, including your insurance card.

If you need "PREMEDICATION", due to health problems such as a heart murmur, artificial joints, mitral valve prolapse, shunt or any other medical reasons, please call our office or your physician to confirm if premedication necessary.