Patient Intake Forms

For your convenience patients in our Taylorsville offices can now complete all the patient registration online,

Taylorsville Office: Online Patient Registration Form

If you prefer to print out and submit your forms please take a moment to download and fill out our patient information form. If you have any questions along the way, feel free to contact our practice.

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Our practice is committed to providing you and your family with safe, gentle, and high-quality dental care. We understand that you or your child may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while also providing the best care possible.

Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, we will:

  • Review your dental and medical history forms
  • Take X-rays of your teeth and mouth
  • Clean and polish your teeth, checking your teeth and gums for any cavities or early signs of tooth decay or gingivitis

After your checkup and teeth cleaning are complete, the doctor will meet with you to discuss your X-rays, help you create your own individual treatment plan, and answer any questions that you may have.

Bring your smile, but also remember to bring these with you to your first appointment:

  • Your completed patient information form
  • Your insurance card

Regular checkups are an important part of maintaining a healthy smile!

The American Dental Association recommends visiting your dentist every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy.

We understand that you have a busy schedule, so when you’re preparing to visit the dentist, please remember that your appointments can last between 45 and 90 minutes.