New Patent Information

1. A list of the prescriptions, over-the-counter medications and herbal supplements that you are taking, including dosages.
2. The name of your physician and/or medical clinic.
3. The name of your dentist and/or dental clinic.
4. A list of any questions or concerns to discuss prior to your treatment.
5. Any information required if you have a pre-existing condition as listed.

Please download and complete these forms and bring them to your appointment.

• Medical History
• Patient Bill of Rights

If you have a history of any of the following conditions, ask your doctor to check if you need to take antibiotic medication before dental treatment. If you need pre-medication but don’t take it before your appointment, we will reschedule your visit.

Conditions that require pre-medication include a history of:

• Infective endocarditis
• Heart valve replacement, transplant and certain congenital heart conditions
• Other conditions or procedures for which your doctor or surgeon requires pre-medication.

Clotting disorders: Patients that are taking blood thinner medications that require INR checks, should have their INR evaluated prior to their dental appointment and have the information available upon request.

Diabetes: Patients with diabetes should bring their most recent HbA1c and glucose reading to the appointment.