Thursday, December 14, 2017
Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

    New Patient Information Form
 
Dental Insurance and How It Works
 
Financial Policies
 
Information About Insurance
 
Record of Release Authorization
 
HIPPA Privacy Policies 
    HIPPA Acknowledgement and Receipt of Privacy Policies Form 
    Health History Information Page 1
    Health History Information Page 2
    Current Medical Information
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"I believe that in order for a patient's treatment to be successful that we must work together as a team. At Finley Periodontics, we will work hard to ensure your entire experience in our office is a positive one."

 

  

  • Dr. Finley even called me personally to see how I was doing after my surgery. I have never had anyone do that for me. Anonymous

  • Dr Finley's expertise and surgical skills are exemplary. His dedication to my needs went beyond the call of duty. Anonymous

  • They made sure that I was comfortable and I didn't wait long at all. My appointment started on time, and the wait was much shorter than other offices I have been to. Lucy W.


Have Additional Questions? Call Now: (337) 443-4150

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