Patient Forms

New Patient Registration Form

New patient? Please download and fill out the following forms when you come in for your first appointment.

PATIENT REGISTRATION.docx
Microsoft Word document [71.0 KB]

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print the appropriate form, fill it out and bring it with you for your first visit.

New Patient Medical History Form Part One
Health History page 1.pdf
Adobe Acrobat document [826.5 KB]
New Patient Medical History Form Part Two
Health History page 2.pdf
Adobe Acrobat document [709.0 KB]
Health History Update Only-for Recall Patients
HEALTH HISTORY UPDATE.docx
Microsoft Word document [70.8 KB]

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Privacy Notice for New Patients
HIPPA.docx
Microsoft Word document [59.6 KB]

Now open Thursday evenings!

 

Dr. Sarah and staff will be available Thursday evenings from 3-8pm in addition to the normal schedule. 

Technology Update:

 

       Tired of choking and gagging on impression material? We have a solution for you! We are now offering 3M's latest dental technology, the DIGITAL SCANNER. Instead of tolerating a full mouth of impression material, Dr. Ludwig can now scan your teeth for a quick and easy dental visit without the mess. Our patients love it!

News Flash

We now offer  BOOST in office bleaching  for our patients who do not have the time for at home whitening trays or bleaching strips. Boost significantly lightens teeth in the shortest amount of time!

Did you know

DIGITAL X-RAYS 

Dr. Ludwig and his staff currently use digital x-rays which reduces your exposure to radiation by 66% over conventional x-rays.

LASERS IN DENTISTRY

LASER's  have many uses, including desensitization of mouth sores for example canker sores also known as aphthous ulcers. Everyone has experienced the pain from these mouth lesions at one time or another. These uncomfortable sores are treated painlessly by Dr. Ludwig using the LASER that allows them to heal without any further discomfort. 

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© George E. Ludwig, DDS