Dental Appointments

Make a dental appointment

740-363-9741

Please fill out this form and we will contact you during office hours.

Dental Appointment Form

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Name:*

Email:*

Phone Number:*

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Morning
Afternoon
Early Evening

Which best describes you (the patient)?*

Existing Patient
New Patient

Do you have a dental emergency?*

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No

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NEW Dental Patients:

For your convenience we have posted the pre-registration forms below. You can download and print these from your home, office, or where ever you have access to the internet and a printer. Please fill them out, sign where indicated, and bring them with you to your first appointment. Don’t have internet or a printer? No Worry!!! You can still fill them out in our waiting room prior to your appointment. Please try to arrive 15 minutes before your scheduled appointment so that you can do so.

HealthHistoryForm-2019

Batterton-Patient Information

Batterton-Office Policy

Batterton-HIPAA Omnibus Rule

Batterton-HIPAA-PrivacyNotice2019 (10 pages, no need to print or sign)