New
Patient Registration
Form
New
Patient Medical &
Dental History Form
New
Patient Office Financial
Policy Form
New
Patient General Procedures
Agreement Form
New
Patient Privacy Practices
Agreement Form
Notice
of Privacy Practices
(printing is optional)
If
your previous dentist
has digital x-rays,
you may request that
they be emailed to:
xray@drroznik.com
Most
insurance is accepted
and filed for you.
Occasionally
treatment can be done
the same day |
What
to expect at your
first appointment
at our office.
-
Review
medical and dental
history
-
Take necessary
digital x-rays
-
Dr. Roznik will
do a thorough
exam
-
Dr. Roznik, along
with the patient,
will determine
a course of treatment
based on patient's
needs
Finance
options
|
