New Patient Visit

At your initial consultation, our doctor and assistants will review your health history, the tooth (or teeth) that are of concern, and the necessary treatment. They will also review the instructions for before and after surgery, as well as any prescriptions. After you have discussed the treatment with Dr. Clayhold and his assistants, our financial coordinator will review costs, applicable benefit coverage, and payment arrangements.

 

Each appointment with our office is reserved specifically for you. We take great pride in providing individualized care and not rushing our patients or overbooking our schedule.

 

As a courtesy to your reservation, we ask that if any changes or cancellations are necessary, to provide a minimum 48 hours notice. If such notice is not received, a fee may be incurred.

New Patient Forms

New Patient Packet
We ask that all new patients complete a New Patient Registration and Health History form.
New Patient Packet 12-2014.pdf
Adobe Acrobat document [276.7 KB]
HIPAA Policy
All healthcare providers have a HIPAA Policy. This attachment is our complete policy should you wish to review it.
Notice Of Privacy Practices_HIPAA Policy[...]
Adobe Acrobat document [77.6 KB]
HIPAA form to sign
Please print and sign this HIPAA acknowledgement form so we may included it in your chart.
HIPAA form to sign.pdf
Adobe Acrobat document [40.5 KB]