Patient Forms, Map and Directions to Rockville Office
Welcome to our practice! We realize that you have many options when it comes to dental providers, so we are pleased that you have chosen us for your dental needs. We are committed to providing you with high quality dental care in a compassionate and gentle manner.
Before your first visit:
Please fill out new patient forms including your contact information, insurance plan information and medical history so that when you arrive our office we will be able to add you to our system correctly. You have two options to complete new patient forms:
Option 1: Print and fill. Please download NEW PATIENT FORM, print and fill the forms. In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Option 2: Fill out new patient form online:
On your first visit you can expect:
- An introduction to our office and staff
- A thorough examination and review of your oral health and overall health history, including necessary dental x-rays
- A careful evaluation of your current dental status and concerns
- A discussion of the most satisfactory treatment plan to meet your oral health goals.
Reminder for your first visit:
1.) Bring your completed and signed New Patient Packet- financial policy, HIPAA form, new patient information sheet.
2.) Bring your insurance card and your driver's license (an official and valid photo ID)
3.) Arrive 15 minutes early so we can get you settled in.
We recognize the value of your time. Unless there is an emergency situation, you can expect us to be on time for you. We would appreciate the same courtesy.
We look forward to seeing you!