Ph: (805) 964-2110 • firstname.lastname@example.org
Most new patients request a cleaning and examination for their first visit. Usually the dental cleaning also called prophylaxis or prophy can be completed in one appointment. Some new patients are in pain and need immediate attention. Others simply want to discuss their treatment options.
Please let the office manager know what you need and we will schedule you appropriately.
A parent or guardian must accompany all patients under 18 at the consultation visit.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e antibiotics, for pre-med.)
Please assist us by providing the following information at the time of your consultation:
Your referral slip and any X-rays if applicable.
A list of medications you are presently taking.
If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
Office Hours: 8 AM - 5 PM Monday thru Thursday
122 So. Patterson Ave Suite 208 • Santa Barbara • CA 93111
Ph: 805-964-2110 • Fax: 805-964-6381 • email@example.com
©All rights Reserved Dr. Subject 2011