New patients in bountiful, utah, 84010 - what to bring to your first appointment with dentist david chamberlain

 

New Patients

WHAT TO BRING


Your first appointment

Your first appointment we will need a bit of information.  You can get these things ready before hand to save you time when you get here. You can print and fill out these forms below:

  1. Patient Information Form

  2. Medical History Form

  3. Insurance Info Form

  4. Condition of Treatment Form


Also you will need to bring some payent options if your insurance is not covering your appointment.  You will need:

  1. Form of payment (we accept credit card, check, and cash)

  2. Form of Identificatoin


Children

When bringing children in we recommend a few things.


New Patient Forms