Welcome and thank you for selecting our office for your dental health services. Please click the PDF icons below to find all necessary forms for your first visit:
Print and fill out the 1a.New Patient and Health History. If your child is 18 year old or younger, please use the 1b.New Patient Child Health History. A form is required for each child. A parent or guardian must sign all necessary papers
Read the 2.Notice of Privacy Practices. (For reading only, printing is optional)
Print and Sign the 3.Acknowledge of Privacy Practices that you have read the "2.Notice of Privacy Practices" and bring with you to the appointment
Print, Read and Sign our 4.Insurance and Payment Policies. Bring with you to the appointment
Call our office number 302.482.4444 to request an appointment. Alternately please use Make an Appointment on the menu above to send (email) us your name, phone number, email address and desired date and time frame. When emailing us, please do not include your confidential info such as Social Security Number, Date of Birth, Home Address, Health History etc...). Our staff will call you very soon to finalize the date and time of your appointment.
In summary you should have 3 forms (items 1, 3 and 4) with you to the appointment. If you do not have these forms ready, please arrive 30 minutes before the appointment in order to fill out and sign these forms.
Be prepared to have a big confident smile after your visit. Thank you and see you soon.
1a. New Patient and Health History
1b. New Patient Child Health History
2. Notice of Privacy Practices
3. Acknowledge of Privacy Practices
4. Insurance and Payment Policies