Get the free our NEW PATIENT PAPERWORK - Pearl Street Dental

2575 Pearl Street, Suite 200 Boulder, Co 80303 303.443.3771 303.443.3611 (fax) About You First Name: Last Name: Middle Initial: Preferred Name: Marital Status: Married Single Sex: Female Male Divorced

How to fill out our new patient paperwork

How to fill out our new patient paperwork

1. Start by downloading the new patient paperwork from our website.
2. Print out the paperwork and gather all necessary documents such as insurance card, identification, and any medical records you may have.
3. Fill out personal information section including your full name, date of birth, address, and contact information.
4. Provide accurate information about your medical history, including any existing conditions, allergies, and previous surgeries or hospitalizations.
5. Make sure to carefully read and understand all the questions on the form before answering.
6. If you are unsure about any specific question, feel free to ask our staff for assistance.
7. Once you have completed filling out the paperwork, double-check for any errors or missing information.
8. Sign and date the required sections of the paperwork, as indicated.
9. Bring the completed paperwork along with all the necessary documents to your scheduled appointment.
10. Our staff will review your paperwork and address any further questions or clarifications, if needed.

Who needs our new patient paperwork?

1. Any new patient who wishes to receive medical services from our facility needs to complete our new patient paperwork.
2. This paperwork is necessary for us to gather important information about your medical history, insurance coverage, and contact details.
3. Whether you are scheduling a routine check-up or seeking specialized treatment, filling out our new patient paperwork is a mandatory step.
4. Even if you have previously visited our facility but haven't completed the paperwork, we kindly request you to do so for our records.
5. Rest assured that all information provided in the new patient paperwork is kept strictly confidential and used solely for the purpose of providing medical care.

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What is our new patient paperwork?

Our new patient paperwork includes forms that gather information about a patient's medical history, contact information, insurance details, and consent for treatment.

Who is required to file our new patient paperwork?

All new patients are required to fill out and submit our new patient paperwork.

How to fill out our new patient paperwork?

Patients can fill out our new patient paperwork either online through our patient portal or by downloading and completing the forms manually.

What is the purpose of our new patient paperwork?

The purpose of our new patient paperwork is to collect important information about the patient's health, history, and insurance coverage to ensure proper care and billing.

What information must be reported on our new patient paperwork?

Our new patient paperwork requires information such as personal details, medical history, medication allergies, insurance information, and emergency contacts.