Always doing the right thing – for you . . .

Thank you again for choosing!

To keep things easy for our new patients, you can find everything you need to get started here on this page.


Let’s get started!
Click the form you want to fill out and it will open in a new tab:

New Patient Form – Adult

New Patient Form – Child

*Please return here after and complete Steps 2 – 6.

If you plan on using dental insurance – you must bring your insurance card, or;

If you do not have a card, the following information will be needed:

Subscriber information: Name, Birthdate, Social Security Number, and Insurance ID number

Employer Information: Name of Company

Insurance Company Information: Name of Company, Address (*important), Phone Number

Patient Information: Insurance ID Number or Social Security Number, Group Number

Please make sure your information is for your Dental and not your Medical Insurance.

We need this information to properly file a claim on your behalf.

Questions about any of the information required?

Please call us prior to your appointment and we’ll help you sort it out in advance – (440) 542-1200.

These are not required for your first visit, but can be very helpful when determining treatment plans.

Please feel free to fill out any that apply to you:

TMJ Disorder Questionnaire

Sleep Disorder Questionnaire

Cosmetic Dentistry Questionnaire

Got X-Rays?

Please forward them at least 24 hours in advance to:

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

We want enough time to get to know you!

  • 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 so we can get to know you?
  • Know where you’re going?

Do you have everything?

Remember our promise:


Always doing the right thing – for you.


Connect With Us

Our community is important to us and we love to connect. Help us build our online community by following us on Twitter or Facebook. We post community information and events, things to make you smile (because what good is a pearly set of whites if you don’t show them off?) and dental knowledge.

Click below to interact with us on the web: