New Patients

We are excited for you to become part of our practice! Below are a few things to help make your first visit as smooth and easy as possible:

  1. Please arrive 20 minutes prior to your appointment to have plenty of time to fill out your new patient paperwork. If you prefer to fill it out at home, please print and complete the appropriate New Patient Forms (linked below) and bring them with you. It is a good idea to have a list of your current medications, dosages, frequency and the medical condition for which you take them with you at all times. This can be very helpful to our staff as they are required to enter this information into your medical history.
  2. Please be sure to bring a copy of your dental insurance card and a photo id. If you do not have a copy of your dental insurance card, please have the policy holders name, date of birth and social security number ready so that we may access your dental insurance information for you.
     
  3. Please be prepared to make any co-payment at the time of service. If you are a cash pay patient, please be prepared to pay for services in full. For your convenience, we accept cash and the following major credit cards: Visa, MasterCard, Discover, American Express and any health savings account card. Checks will be accepted for established patients only.
     
  4. When you arrive at our clinic, please check in with the reception staff. To ensure the privacy and safety of all our patients, we politely ask that children and family members without a scheduled appointment remain in the patient reception/waiting area. Exceptions will be made for very young children and their parent or guardian who feel their treatment experience will be improved by the security of their company.
     
  5. As a new patient at Upper Arlington Dentistry, it is important for you to be aware of our
    • Patients must cancel all dental appointments at least 24 hours before their scheduled appointment's time.
       
    • If a patient does not cancel a dental appointment at least 24 hours before their scheduled appointment time, said appointment will be considered a Broken Appointment.
       
    • Should an individual accumulate three (3) Broken Appointments during their time as a patient at Upper Arlington Dentistry, the clinic considers this to be grounds for patient dismissal. Being dismissed as a patient means that you will no longer be allowed to return to Upper Arlington Dentistry for your dental care.
       
    • If you are returning to Upper Arlington Dentistry as a patient after a long absence, but have had a history of broken appointments, the next broken appointment upon your return will be considered grounds for dismissal.