You can download the Heath history and Dental history forms by clicking on
the link buttons.
We
can also fax or mail these forms to you.
For non-emergency patients, your initial appointment will consist of a
complete endodontic examination with a comprehensive explanation of your
diagnosis and treatment options. This will allow me to evaluate the requirements of
your needs and to
provide you with accurate information about your treatment options.
Please assist us by providing the following
information at the start of or prior to your appointment:
Your endodontic referral
slip.
A list of your medications you are presently
taking.
A completed Health History Form.
A competed Dental History Form.
If you have dental
insurance, please provide us with your insurance information 24 hours
prior to your appointment. This will assure that your claim forms are
properly submitted.