INFORMATION FORMS FOR NEW PATIENTS

We are very happy to welcome you to Seawall Dental and want you to know we
appreciate the opportunity to take care of you and your family’s dental needs.
Our office is focused on providing you with high quality, gentle dental care.

During your first visit, our doctors will examine your teeth, perform an oral cancer
exam, review necessary x-rays and make an assessment of you oral condition. Staff members will assist the doctor in completing your oral health evaluation and
you will be meeting several members of our dental team.

If it is discovered that you need any dental treatment, a treatment plan and
estimate will be prepared for you prior to beginning any procedures. You will
have the chance to review recommended dental treatment and ask questions.

Please follow the links and you will find Medical / Dental History forms and information
on locating our office. Please complete the fill in the blank forms and
they will automatically be sent to our office for you. If you have dental insurance
please bring your insurance information with you and we will be happy to assist
you in submitting your claims.

Thank you for choosing our office. We look forward to meeting you soon.

Sincerely,

Seawall Dental Group

PERSONAL INFORMATION








DENTAL HISTORY










MEDICAL HISTORY

The following information is required to enable us to provide you with the best
possible dental care. All information is strictly private. We will review the questions
and explain any you do not understand. Please fill in the entire form.








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