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.
Dentist “How did you break your tooth?”
Patient “I was eating popcorn”
We hear this all the time in the office!
🍿 A Damaged Restoration: The kernels of popcorn are hard enough to damage a dental crown or filling when you bite down on them hard enough.
🍿 A Kernel Stuck Between the Teeth: If you've eaten popcorn before, you likely know just how irritating a kernel stuck between your teeth can be.
In some cases, simply flossing your teeth can be the answer. However, if the kernel is severely lodged, you may need to seek professional help to remove it.
🍿 A Cracked Tooth: Popcorn kernels are hard enough to also crack a tooth!
So the lesson here is: you don’t have to give up popcorn – but take your time while eating it; and we are always here for you for any popcorn dental emergencies. 😊
#dentistry #dentalcare #patientcare #popcorn #PopcornDay #PopcornLovers #NationalPopcornDay ... See MoreSee Less
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From the model to the mouth! Perfect fit! 🙌🏼 ... See MoreSee Less
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Ugh...ptsd! Grateful for it though.
✨ Happy Work Anniversary ✨
Thank you for your hard work & dedication to our office!
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Congrats Alexi Washburn ! 🦷
Brace yourself for this cute new sparkling smile! ✨
#firstdayofbraces #OralCare #dentalcare #phase1ortho #dental #dentistry #Braces #bracesjourney ... See MoreSee Less
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What a cutie!!
This is your year to make self-care your top priority! 🙌🏼 ... See MoreSee Less
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New Year, New You, New Smile!
2025! A new year full of opportunities for change and growth! One of the easiest resolutions you can be sure to keep, and one that will keep you healthy and confident, is to focus on improving your oral health! Maybe you could use some improvements in your home care, or just need to finally make the call and get scheduled for overdue dental appointments, dentistry can have a truly life changing impact on your life. 🦷
Schedule that New Year dental appointment now!
319-365-0534– Cedar Rapids
319-362-0043- Hiawatha
#dentalcare #oralhealth #OralCare ... See MoreSee Less
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