Bressi Ranch Famly Dentistry

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New Patient Registration Form




Thank you for choosing our office for all your dental needs. We have created a comfortable environment where you can feel confident in the level of dental care you receive. When you arrive for your first visit, please bring your dental insurance card and a picture I.D. We will ask you to fill out forms and read over important information that will get you acquainted with our office.

Your initial exam will last approximately one hour. This visit will help us get acquainted with each other and learn about your goals and desires for your dental treatment. This visit will generally consist of a comprehensive evaluation, x-rays and a teeth cleaning.  We will outline your existing dental problems and proposed treatment, if any, at this time. Oral hygiene instructions will also be provided along with suggestions to help you care for your teeth.

To the right you will find our New Patient Registration Form. Please print and fill out this form prior to arriving for your appointment, if possible. If not, please arrive 15 minutes earlier to fill out the necessary forms. Also, if possible please read the following documents: HIPAA, Financial Agreement and Appointment Policy Form, Email Consent and Dental Materials Fact Sheet. When you arrive for your appointment we will ask you to sign electronically into your file, stating that you have understood and read the information on these documents. We have these documents available in our office as well, if you are unable to read through them before your appointment.

We believe that good dental care begins with open communication. We promise to speak candidly with you about any symptoms present that may require further dental treatment, our diagnosis, alternative treatments that may exist, and our recommendations. Working together, we can achieve a true partnership, with one common goal-keeping your smile beautiful and your teeth, gums and jaw joints healthy!

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