NEW PATIENTS & FORMS
We Are Dedicated To Your Dental Success
Your first visit generally includes a Comprehensive Dental Examination. We will diagnose your unique dental needs, learn your desires, and discuss how we might fulfill them. We will examine your mouth for signs of oral cancer and dental abnormalities such as decay, missing teeth, jaw dysfunction and any defective fillings. To be thorough, digital radiographs (x-rays) will be taken. A full series is recommended by the American Dental Association every three years. If you have had x-rays taken recently, please bring them with you or contact us to have them sent directly.
What To Expect On Your First Visit?
For those patients who have had regular dental care, a routine cleaning will likely be performed at this visit. If any signs of periodontal disease are present, more comprehensive treatment may be recommended, sometimes just a second visit. The details of this periodontal care will be discussed before initiation. Generally, the initial adult visit includes the complete exam, x-rays, routine cleaning and polishing, oral hygiene instructions, oral cancer screening, periodontal diagnosis and a full treatment plan.
If you are interested in improving your smile, we urge you to view our Smile Gallery to view examples of what we have done for others. We are happy to offer you a Cosmetic Consultation at no fee, or to offer you a second opinion on your options. We can also show you cases similar to your own which we have completed in the past.
We accept cash, personal checks, Visa, Mastercard, American Express and Discover. We will file your insurance for you, and will accept benefits directly for all established patients. We will work with you to maximize your benefits as possible, and we accept virtually all insurance plans which allow you the freedom to choose which dentist you prefer. Your payment or copayment is due at the time of service, and you should recognize that you will be responsible for any fees that your insurance does not pay.
We also offer 6 and 12 month NO INTEREST financing for qualifying treatment plans. We will try to make your dental appointment as informative and as pleasurable an experience as is possible. Dentistry now offers many new opportunities for improved health, function and appearance that were unavailable only a few years ago. Please do not ever hesitate to ask about anything you do not understand.
You will be dealing with a team whose primary goal is to serve you. We look forward to meeting you and earning your trust and confidence.
New Patient Forms
PLEASE COMPLETE THE ONLINE PDF FORMS AS WELL AS PRINT AND SIGN ALL OF THE FOLLOWING FORMS TO EXPEDITE YOUR FIRST VISIT.
Consent For Services
Getting To Know You
What We Offer
When you visit Main Street Dental you can expect the utmost care for your smile. We offer the following servces:
- Cosmetic Dentistry
- Invisalign® clear braces
- Dental Implant dentistry
- Children’s Dentistry
- General teeth cleaning and exams
- Dental crowns
- Oral screening
Main Street Dental Is A Top Rated Cosmetic Dentist.
FOR A LIMITED TIME, MAIN STREET DENTAL IS OFFERING ABSOLUTELY FREE COSMETIC DENTISTRY CONSULTATIONS!
As an added benefit, our office is pleased to offer easy, NO INTEREST financing that enables you to extend your payments over a period of time.