Patient Resources

New Patient Information Packet

Tell us about your medical history so that we can provide the safest treatment options for you!

We want to get to know you! Take a few moments to complete the new patient form and save some time on your first visit.

This information packet includes:

General Patient Information

Patient Medical History

Our Office Financial Policy

HIPPA Privacy Documents

INSURANCE QUESTIONS?

Patrick Family Dental accepts most insurance plans and offers a complete line of dental services. If you have insurance questions, please give us a call and our staff will help you understand your insurance coverage.

770-863-0005

REQUEST AN APPOINTMENT

Keep in mind this does NOT confirm your appointment. Your appointment is not confirmed until we have gotten back with you. Thanks!

[date date-708 class:medicom-forms placeholder "Appointment Date"]