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To speed up your time in the office, please print and fill out the forms below and bring them with you on your first visit.

Patient Information

ABOUT YOU

DENTAL HISTORY

MEDICAL HISTORY

Office Policies

POLICIES AND PROCEDURES

FINANCIAL RESPONSIBILITIES

Privacy Practices

NOTICE OF PRIVACY PRACTICES

DISCLOSURE OF HEALTH INFO

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New Patient Information

 

Brafman Family  Dentistry welcomes new patients of all ages to our practice.  We would like to make your first appointment in our office as enjoyable as possible.  When you schedule your new patient appointment with our front desk staff the following information will be needed for our office.

  • Health History.  Please inform the office staff if you have any health concerns that may interfere with your dental treatment.  Previous cardiac surgeries or heart problems, complete knee or hip replacements, head or neck radiation, bleeding problems or taking blood thinners.  Many patients are not aware that they may be required to take an antibiotic prior to their dental appointment.  Sometimes we will contact your physician prior to your first appointment to gain as much information about your health that may help us with your care.
  • Insurance information.
  • Previous dental treatment.  This includes past radiographs or reports from previous dentists or specialists regarding your care.  If you have previous up to date radiographs it is important that we have these in our office for your first visit.  The doctor cannot provide a complete treatment plan without the appropriate radiographs.
  • All medical forms, HIPPA regulations, financial policies and office policies that can be downloaded from our website.
  • How to locate our office.

Your first visit to our office will be scheduled with the hygienist and the doctor.  After a review of your medical history the hygienist will collect information regarding your dental health to present to the doctors.  This includes necessary radiographs, periodontal pocket charting, and a past dental history.  This information will be important to determine what level of cleaning you may require.  Remember that if it has been many years since your last dental cleaning you may require a more extensive cleaning compared to a patient that receives care every six months.

Once the information has been collected, the doctor will come in to create a treatment plan along with the treatment plan coordinator.  At this time your dental plan is created especially for you.  All of your dental concerns and questions can be answered and a plan can be devised that suits your financial needs.  Our staff is very knowledgeable about dental insurance plans, and can help you determine what type of coverage you have and what you can use toward you dental care.

If time allows we may be able to clean your teeth on your first visit!  Sometimes, if your cleaning requires more time, we will schedule you to return to our office.  This is so you receive the correct amount of time for your necessary care.

We do ask that you be on time for your appointments.  This is time that we have specifically set aside just for you.  We want you to have an enjoyable experience and have plenty of time to ask questions.

Brafman Family Dentistry

31381 Dogwood Acres Road

Dagsboro, DE 19939

Hours Of Operation

MON - THUR  8:00am - 5:00pm

FRIDAY  8:00am -12:30pm

Phone (302) 732-3852      Fax (302) 732-3855

Discrimination Policy

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