Dentist Framingham New Patient Forms
 
          A beautiful smile can change the way you look and feel. Through proper preventive care & regular checkups every 6 months, we believe that it is highly likely that most of our patients can expect to keep all of their teeth for all of their lives. Did you know that most dental plans will cover preventative care (cleaning and checkup) at 100% every 6 months from the date of your last cleaning and checkup appointment. Please contact your plan sponsor (often your employer) or dental insurance for questions regarding the features of your specific dental plan.
 
          Our commitment to your dental care is our priority. We invite you to communicate with our office online at www.demandforce.com/dentist/smilage. This online service is easy to use and a convenient method to provide you with appointment reminders and confirming your appointments all by email and/or text. Do you want us to give you a friendly reminder on the same day of your appointment then sign up for text messages. This great feature will send you a reminder text 3 hours before your appointment.
 
          Check-in Policy: Please check-in when you arrive with the receptionist to help prevent any interuption with your appointment. We recommend arriving 15 minutes early to allow for the check-in process (30 minutes for any new patient). Please remember to bring a valid picture identification of the responsible party including any insurance identification for any patient with insurance coverage at the first visit to help prevent fraudulent activity. You will also need to fill out a Medical History Form and a Financial Agreement Form at your first visit. Remember to turn off your cell phone in the treatment room. Thank you for your cooperation and assistance. It is greatly appreciated.
 
 
          Do you want to save time at your first visit? You can print and fill out the Medical History Form and Financial Agreement Form on this page by clicking on the item below. Please feel free to contact our office with any questions or concerns. 
          The Medical History / Financial Information Form (Page 1) serves as the central repository for useful medical information and is in place to assist the dentist in formulating a diagnosis and providing professional dental care and treatment in a safe manner to the patient. It is vital that your medical information be current and a new form should be filled out every 2 to 3 years. Thank you for your understanding.
          The Financial Agreement Form (Page 2) is in place to inform you of your financial obligation to our dental practice. Our goal is to provide the finest care and treatment to all our patients at a reasonable cost in a safe, clean, comfortable, and friendly environment. All charges you incur for any treatment that is provided to you are your responsibility regardless of your insurance coverage. As a dental professional we will always recommend treatment based upon your dental needs and not based on insurance coverage. Please remember that your dental plan may not cover certain procedures regardless of their value to you. Thank you for your assistance.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
* Updated 1/12/2016