Here at Dr. Stacy Johnson’s we want to make you smile.Download New Patient Packet
For your convenience you can simply click on the orange New Patient Packet button below. This will enable you to download and fill out the necessary paperwork before your appointment. In the comfort and leisure of home. This saves valuable time when you arrive. Go ahead and get started. I promise, it is simple to do. Everyone wants to save time.
We are looking forward to meeting you very soon.
New Patient Welcome Packet
This packet contains our Patient / Insurance / Dental History / Medical History information form, Patient Consent and Disclosure of Protected Health Information, and an informational page pertaining to financial payment options. Please print all pages, fill out the questionaire, and sign all pages. Bring the packet with you to your first visit to facilitate check-in.
Additional Documents That Might Be Helpful:
If a patient is under the age of 18 a parent or guardian must accompany them.
Your first visit to our office will include necessary digital x-rays, evaluation for the presence of gum disease, cancer screening and a comprehensive hard tissue examination, for the detection of decay. This will be followed by a consultation explaining your diagnosis and treatment options.
There may be times when treatment can occur on the same day as the consultation. However, if there is a complex medical history or treatment plan, a second appointment will be required for further evaluation and treatment.
Please provide the following information at the time of your visit:
- Any X-rays (if applicable)
- A list of your current medical prescription
- Completed forms for medical or dental insurance. This will save time during your first visit and allow us to help you process any claims.
It is important to inform the office if you have any medical conditions 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 taking any medications ( i.e. heart medications, aspirin, anticoagulant therapy, etc.).
We have incorporated a digital x-ray process, which allows us to reduce the amount of radiation exposure to the patient by 90 percent. You may request that previously taken x-rays (by a previous dentist or physician) be forwarded to our office or you may pick them up and bring them to your first visit. If it is determined that additional films are necessary, they can be taken at our facility.
Your First Visit
As a new patient of Dr. Stacy Johnson Family Dentistry, we are pleased that you have chosen us for your dental care and we will make your visits as pleasant and relaxing as possible while providing first class dental care.
You can expect that there will be some forms to fill out including personal information and insurance. For your convenience, we have made the forms available online so you can print them ahead of time and fill them out at your leisure prior to your first appointment.
Your first visit will include a complete oral evaluation (x-rays, photographs, cancer screening and periodontal screening) to establish a baseline, followed by a consultation explaining your diagnosis and treatment options. You might receive treatment the same day and additional appointments may be necessary.
New Patient Forms
New patients are requested to download, print and fill out the forms
in our New Patient Packet. The packet includes additional documents that explain Dr. Johnson’s Family Dentistry policies and practices.
Obtaining optimal dental care and health is our utmost priority and wish for every patient. In order to make the process affordable and convenient for every patient we accept the following payment options: Cash; Visa, Mastercard, American Express and Discover Card in addition to insurance billing and other payment options. For more information, please visit Dental Care Finance Options.
For your convenience, we offer you the ability to pay your dental bill online via SR Portal. More than just a means to make a payment, SR Portal
is a free and easy portal to access our front desk services from your computer as well as review your bill.
For more information about our online dental care payment system, please visit Dental Care Online Payments.
If you have dental insurance, you can expect the carrier (insurance company) to reimburse you for a portion of our fee. As a convenience to you, we will hep process your insurance claims including providing necessary documentation, test results that may be required. For more information about dental insurance, please visit Dental Care insurance