Patient Forms

The information below may help you answer some questions that will help you prepare for your next dental appointment with us. Thank You.

 

Practice Documents

Find (Health History, HIPAA) forms to download here.

Post Op Instructions

Best protocol of care following your dental surgery.

COVID 19 Questionnaire

For everyone’s safety, the following questions will be reviewed before coming into the appointment and before entering the operatory.

COVID 19 Symptoms

Please let us know if you have any of the following signs or symptoms.

ADA Dental Claim Form

We will help you make claims to your dental insurance with this form. Any insurance reimbursement claims are your responsibility.

Prior Appointment

We value everyone safety. Please review.

Home care is very important to the long term success of your implant(s) and overall dentition. Meticulous oral hygiene including brushing and flossing are encouraged. An antimicrobial mouth rinse may sometimes be part of the recommended home care as well. Follow up with your dentist is always recommended.
— Dr. Pagán

Contact Us

503-994-5817