Phone: 505.338.9833
Fax: 505.338.9834
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Patient Forms

Please download and fill out this form before visiting our office for the first time. It will save you time! You'll need the Adobe Acrobat Reader to view and print this PDF.

New Patients

**DOWNLOAD our New Patient packet here in PDF format: Download

Please download and fill out these forms if you have multiple medications and/or allergies

  • Medication and Dosage Sheet (PDF): Download
  • Medication Allergies (PDF): Download
Pre Operative For IV Sedation
  • General Preoperative Instructions (PDF): Download
Post Operative
  • General Post Operative Instructions (PDF): Download
  • Post Operative For Dental Implants (PDF): Download
  • Household Pharmaceutical Waste Instructions (PDF): Download

Insurance Information

Here is some information you'll need for your first visit.

  • Please bring all pertinent dental insurance information at the time of initial visit.
  • We file all patient's dental insurance claims.
  • We are providers for many dental insurance companies.
  • We will provide a detailed financial statement at the time of visit.

Special Financing is Available!

  • Patients have the option to apply for credit through a program with Care Credit at the time of visit.
 
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