We would like to thank you for allowing us to treat you as a patient. Your first visit to see Dr. Roberson and the team establishes an important foundation for our relationship with you.
During this visit, we will obtain background information such as your medical history, and give you time to get to know your doctor. Follow these steps to set up your appointment and save time on your first visit.
Review our Privacy Practices.View the Notice of Privacy Practices (pdf)
Fill out our patient forms and bring the completed hard copies to your first appointment.
You do not need to bring completed hard copies for forms filled out online.
New Patient Information Form (pdf)
Dental History Form (pdf)
New Patient Welcome Letter (pdf)
Acknowledgement of Receipt of Notice of Privacy Practices (pdf)
Authorization for Release of Dental Information (pdf)
Insurance and Payment Authorization (pdf)