FORMS AND FINANCIAL RESOURCES
Please click on the relevant forms below, and download or print them out. Complete the forms at home and then bring them with you to your first visit. If you have trouble downloading a form or simply wish to have it mailed to you, please call the office and the staff will be happy to oblige.
NEW PATIENT HEALTH HISTORY FORM
(REQUIRES PATIENT SIGNATURE)
The patient should bring this completed form to the initial visit/consultation appointment and present it to the office staff. Dr. Flamme will review this information as part of his overall evaluation of the patient's case.
NEW PATIENT CONTACT INFORMATION FORM
(REQUIRED FOR NEW PATIENTS)
The first visit is designed to make you comfortable with the practice and to gather important information necessary for your treatment plan. Every effort is made to keep the appointment schedule on time. Please try to arrive 15 minutes ahead of the scheduled appointment time to allow staff to answer any questions you may have, complete forms, and enter insurance information.
The office will email or send you medical history and insurance forms in advance of the first appointment so that this information can be prepared at your convenience. This helps keep the office schedule on time, which is for your benefit.
You will be welcomed to sit for a comfortable and thorough examination by Dr. Flamme. If needed to ascertain the extent or severity of periodontal disease, x-rays will be taken. If there are any x-rays available from your referring dentist, please request that copies be transferred to Dr. Flamme in advance of your initial appointment, so he can include them in his consultation with you.
Dr. Flamme will then inform you of any periodontal issues and discuss your treatment options. At this time, fees are approximated and insurance coverage estimated so you can make informed decisions about your care. A summary of the finding and the possible treatments is forwarded to your referring dentist so that he/she is included in the discussion and coordination of care. Our goal is for you to feel comfortable, informed and prepared to take next steps to ensure a positive outcome.
Please notify the office if you have a special medical condition requiring antibiotics for dental visits.
PLEASE NOTE: If the patient is under 18 years old, he/she must be accompanied by a parent or guardian.