First Visit
Scheduling
Financial Policy
Privacy Policy
Download New Patient Forms
Download Consent Forms
FAQ


 

Please assist us at the time of your initial visit to the office by providing the following information:

  • Your referral slip, if you have, and x-rays from your referring dentist.


  • A list of medications you are currently taking.


  • If you have dental insurance, please bring any forms or insurance cards with you to the appointment.


Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension.)

We will complete an in depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ and other signs of periodontal disease.


  Download New Patient Form Download File Size
New Patient Information Forms (40.0 KB)

This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.




:: Home | :: Patient Info | :: Periodontal Disease | :: Surgical Procedure | :: Non Surgical | :: Reffering Doctors | :: Smile Gallery |:: Contact Us | :: Meet Us

Copyright © 2008 West Valley Periodontics, All Rights Reserved.                                         Site Designed & Developed by JSC Graphics