Patient Forms, Map and Directions to The Dental Center
Your first visit to The Dental Center involves a few special steps so that we can get to know you. To understand what to expect, 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 also save some time by printing out and completing the patient forms in advance of your appointment.
Patient Forms
Please fill out these forms and print them so we can expedite your first visit:
- Patient Information Guarantor (to be used by the person financially responsible for the account)
- Patient Information Dependent (to be used by a patient who is not financially responsible for the account)
- Medical Health History
- Office Policies
- Notice of Privacy Practices
- Notice of Nondiscrimination
- Language Assistance
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.
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.
Don’t let a busted bracket ruin your smile! 😬
If your braces take a hit, give us a call & we will get you back in the game in no time! 🏀 🦷
#MarchMadness #bustedbracket #braces ... See MoreSee Less
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Winter’s out, and bright smiles are in! ☀️ Refresh your smile this spring—book your cleaning today! #Spring #dentalcare #springcleaning ... See MoreSee Less
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Hi, I am with Town Hall. We are preparing Welcome Kits for new families moving into Cedar Rapids. Our Welcome Kits will feature and refer these new families to one local Dentist. I would like to discuss your being the referred Dentist for these new families. Please message me to learn more. Or for immediate assistance, feel free to call or text me on my cell which is provided below. Thanks. Anna Steinwinter (252) 258-1325
Hi, I am with Town Hall. We are preparing Welcome Kits for new families moving into Cedar Rapids. Our Welcome Kits will feature and refer these new families to one local Dentist. I would like to discuss your being the referred Dentist for these new families. Please message me to learn more. Or for immediate assistance, feel free to call or text me on my cell which is provided below. Thanks. Anna Steinwinter (252) 258-1325
Hi, I am with Town Hall. We are preparing Welcome Kits for new families moving into Cedar Rapids. Our Welcome Kits will feature and refer these new families to one local Dentist. I would like to discuss your being the referred Dentist for these new families. Please message me to learn more. Or for immediate assistance, feel free to call or text me on my cell which is provided below. Thanks. Anna Steinwinter (252) 258-1325
May the luck of the Irish be with your smile... and your flossing routine! 🍀🦷
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From Misalignment to Masterpiece! 🤩
Before & After Invisalign
#invisalign #invisalignsmile ... See MoreSee Less
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🌸✨ April Just Got A Whole Lot Brighter! ✨🌸
Smile, it’s time for a change! 😁 This April, we’re offering 10% OFF Invisalign treatments—because your dream smile shouldn’t wait! 🦷
Whether you’ve been thinking about straightening those teeth or are ready to take the plunge, now is the PERFECT time to start your smile transformation.
🔹 Clear, comfortable, and practically invisible 🔹 Customized for YOU
Start now and get 10% OFF!
#Invisalign #SmileGoals #AprilDeals #SpringIntoSmile #ClearBraces #InvisalignDiscount ... See MoreSee Less
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Taking a moment to appreciate our amazing Doctors who keep our smiles looking great! 😁 #NationalDentistDay ... See MoreSee Less
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So blessed to have a team of doctors that trust our skills and knowledge and support our growth! So lucky to work for those I can call friends and family