New Patients
NEW PATIENTS
Speed Up Your Visit at Gentle Dental Care
Fill out the applicable New Patient form online by clicking the link below for the office you will be visiting.
Download the following new patient forms to speed up your visit. Fill them out prior to your first appointment and present them to the staff at the front desk.
A new patient chart will be created and you'll be ready to go. Or, download one of the form packages we've created that include all the forms below. Simply download the appropriate package and you'll be on your way. You need to have Adobe Acrobat Reader to view the files. If you do not currently have Adobe Acrobat Reader, you may download it for free
here.
Privacy Practices
The notice below provides information about how health information pertaining to you may be used and disclosed and how you can get access to this information. Download the Notice of Privacy Practices
by clicking the button below and please review it carefully.
After reviewing the Notice of Privacy Practices please print the Privacy Practices signature form,
fill out the appropriate fields and bring it to your first appointment.
Treatment Plans and Insurance Estimates Form
Gentle Dental Care provides a treatment plan and a financial estimate at check out. Please download the form
and bring it with you to your first appointment.
Treatment Plans & Insurance Estimates Form
Patient Financial Options
Our office is committed to providing you with exceptional quality dental care at affordable fees with comfortable financial options. It is our intent to ensure that you have every opportunity to wisely invest in a smile that will be beautiful, healthy, and functional.
Patient Financial Options Form
Please print the Patient Financial Options form, fill out the appropriate fields and bring it to your first appointment.
A smile you can be proud of.
