First Visit

Patient Registration Form

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When you arrive for your visit, please be prepared to complete all insurance, privacy act and health information forms. These forms will enable our office to initiate any endodontic treatment that might be necessary in a timely and efficient manner. If you are on medication, either bring them with you or a list of the medications you are taking. Please tell the receptionist if you need to be premedicated with antibiotics.

Your initial exam and treatment will last approximately one hour. The endodontist will evaluate your signs and symptoms to determine if you need treatment. In most cases, if you need treatment, it can be started at your initial appointment.

New Patient Form


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