(Practice)
(Specialty)
(Location)
(Phone)

Initial Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Usually, treatment will be performed the same day as the consultation. Sometimes, your referring general dentist will request a consultation only with no subsequent treatment. Occasionally, complex cases will require multiple appointments, though usually no more than two visits.

Please assist us by providing the following information at the time of your consultation:

  • Your referral slip and any X-rays if applicable
  • A list of medications you are presently taking
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

X-Rays

If your referring dentist has taken x-rays, please request that they forward them to our office, or they may have you bring them with you to your appointment. In any event, we will be taking our own low-radiation digital films when you arrive for your appointment.

Endodontic Registration Form
Medford OR