If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Patient Health Registration
Dental History Questionnaire
Financial Policy
HIPPA Policy.pdf
Release of Records
Would you like help with financing your dental treatment? Please click on the link below, to apply for CARE CREDIT patient financing before your appointment:
https://www.carecredit.com/apply/confirm.html?encm=VTRSawdlBmMFOVE1U2ddNFZsUzJUMVVmD2wFPQduBTk
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Loved everything about my experience visiting Dr. Im....would definitely recommend!!!
C.L. 9/23/15
Hello Dr Im, Please tell Betsy how pleased I am with my clean teeth! She did a wonderfully thorough job, and I truly appreciate her efforts. You and your staff are Number One! Thank for all that you do.
Ken
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