New Patients

As a new patient at our office, we would like to take a few minutes to introduce you to our office protocols.

New patients:  Mention this website and receive $50 towards your dental treatment!

We ask that you come 15 minutes prior to your initial appointment to allow time to complete those forms.  Please be prepared with the following information:

  • List of Current Medications and Health Conditions
  • Name of Current Physician
  • Dental Insurance Card (If you have insurance)
  • Name and phone number of previous dentist

Please contact your previous dentist to see if a release of information form is needed in order for us to get your dental records.

Patient Registration:

Please print and fill out the forms below and bring with to your first appointment. 

Payment:

Payment is due on the day of treatment.  We accept the follow payment forms:

We accept many different types of Insurance.  As you know, insurance does not cover 100% of all prescribed treatment.  As a service to our patients we will submit claims to your insurance company, however, you are responsible for the deductible and estimated co-pay on the day of treatment. 

Appointments:

We know that you have set aside time to come in to see us and have you dental work done.  We have reserved that appointment specifically for you.  If you are unable to keep your appointment, we request a 24 hour notice of cancellation so that we can avoid a broken appointment charge and allow someone else to use that appointment time.

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Interested? Complete the form below and we will contact you today! Or feel free to call us at Little Falls Office Phone Number 320-632-8113.

Contact Us Today

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. If you are an existing patient, this contact form should not be utilized for communicating private health information.
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