1st Visit Checklist

Thank you again for choosing GoodHealth.dental

Let's make it easy! Here's your checklist:

STEP 1 - New Patient form

Click the form that applies to you.
Then fill out the form and continue with Step 2.

NEW PATIENT FORM - ADULT

NEW PATIENT FORM - CHILD

TMJ QUESTIONNAIRE FORM

STEP 2 - Dental Insurance

HAVE DENTAL INSURANCE?

  • You must bring your Insurance Card or provide the following:
    • Name
    • Birthdate
    • Social Security Number
    • Insurance ID Number
    • Dental (NOT MEDICAL) Insurance Company Information (Name, Address, Phone# of Company)
    • Employer Information (Name of Company)

STEP 3 - X-Rays

GOT X-RAYS?

Please email them at least 24 hours in advance to doc@goodhealth.dental

STEP 4 - Appointment Time

Please arrive 10-15 minutes before your appointment to review your information and sign your paperwork.

We need sufficient time to get to know you!

STEP 5 - Know where we are?

Just to be sure, let's check again:

✅  Filled out your online form?

✅  Have your dental insurance info?

✅  Filled out any additional forms for specialized treatment if necessary?

✅  Provided any previous x-rays if necessary?

✅  Ready to arrive 10 minutes before your appointment time?

✅  Know where you’re going?

See you there!

Good Health Dental Holistic Dental Clinic in Cleveland Ohio
Hours

Mon   7:00am-5:00pm
Tue    7:00am-5:00pm
Wed   7:00am-5:00pm
Thu    7:00am-5:00pm
Fri      Closed
Sat     Closed
Sun    Closed

Connect
Non-Toxic • Gentle • Safe

DISCLAIMER:
The information provided on this website is not intended to serve as medical advice. An appropriate diagnosis and treatment plan for any patient can be made only by visiting your dentist, physician, or group of doctors. Holistic Dentist Dr. Scott Rose at GoodHealth Dental shall have no liability or responsibility to any individual with respect to loss or damage directly or indirectly caused or alleged by the information contained in this website or obtained from other websites to which a visitor may connect and view. Good Health Dental, a Solon, Ohio Holistic Dental Clinic, provides family dentistry, cosmetic dental treatment options, restorative dentistry, neuromuscular dentistry (TMJ), dental implants, snoring & sleep apnea solutions, periodontal gum care, sedation treatments, and orthodontics. Besides Solon, a city in Cuyahoga County Ohio, we proudly serve all Cleveland communities.


Copyright 2021 Good Health Dental ®  | All Rights Reserved | Website & Strategy by Jaw Drop Dental Marketing

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