When you and your child arrive for your first visit, please be prepared to complete all health information forms, and provide valid insurance proof or cards. This will allow us to begin treatment. We will ask you to fill out several forms that will help us become acquainted with you and your child. Once forms have been filled out, a member of our clinical staff will be with you momentarily.
After a brief stay in the waiting room filled with a TV showing current kid-friendly features and wall games, you will be escorted to our hygiene area where your first dental journey will take place. Other accompanying family members are welcome only as space permits in the hygiene area.
Please complete the forms below, print them, and bring them to your appointment with West Maple Pediatric Dentistry.
PLEASE NOTE: These forms do not digitally submit to the office.
You must print them and bring them to us.
If you have any questions please contact our office.
West Maple Pediatric Dentistry strives to go the extra mile in providing a service to your child. In return, we simply ask for your cooperation with the following rules to ensure only the best service for your children.
West Maple Pediatric Dentistry has a payment plan to fit your needs.
Our office is committed to helping you maximize your insurance benefits. As a service to our patients, we will bill insurance companies for you. We also provide pre-estimates on your next dental treatment to help you determine how much your insurance will cover and what portion you will pay. We offer payment arrangements, you won’t be turned away.
If you have any questions, please contact our office and we will gladly assist you.