Community Dental Clinic

Dentist - Owensboro
2811 New Hartford Rd, Suite A
Owensboro, KY 42303

270 691 6205

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Patient Forms, Map and Directions to Owensboro Office

Your first visit to Community Dental Clinic establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.


PLEASE COME TO YOUR FIRST APPOINTMENT 15 MINUTES EARLY IF YOU INTEND TO FILL OUT FORMS IN OUR OFFICE.

ALSO........ PLEASE BRING A LIST OF ALL MEDICATIONS THAT YOU ARE CURRENTLY TAKING OR HAVE TAKEN IN THE PAST.

TO QUALIFY FOR DISCOUNT, YOU MUST BRING YOUR FINANCIAL DOCUMENTATION WITH YOU. CLICK ON THE PRICING TAB FOR MORE INFORMATION.

CONFIRMATION POLICY

Be advised that it is the patient’s responsibility to confirm all appointments 24 hours in advance. Monday appointments should be confirmed the week prior to the appointment. Cancelation of an appointment less than 24 hours before the appointment will be considered a failed appointment.

Patient Forms
Only complete these forms if you have a scheduled appointment so we can expedite your visit:

FORMS

PATIENT REGISTRATION FORMS [ Online ] [ PDF ]
SPANISH PT REGISTRATION [ Online ] [ PDF ]
Opioid Consent [ Online ] [ PDF ]
Consent for Extractions [ Online ] [ PDF ]
SPANISH CONSENT FOR EXT [ Online ] [ PDF ]

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In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 


What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.


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