$99 New Patient Welcome Offer! Includes exam and complete set of X-rays ($500 Value)


New Patient Forms

  

Thank you for selecting West Periodontics as your dental implant and periodontal care provider. We will strive to make your relationship with us a pleasant and rewarding one.


For your convenience, our Health History Form and Privacy Policy (HIPPA) Form are now available to you to download and complete prior to your first appointment with us. 


Please bring the completed forms with you to your first appointment. 


We are in-network with the following insurance plans: Delta Dental Premier/PPO, Metlife PPO, and Cigna PPO. 


 Feel free to call us at  770.493.8500 with any questions or concerns, we are more than happy to assist you!


HEALTH HISTORY FORM (pdf)

Download

HIPPA FORM (docx)

Download