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PREMIER PERIODONTICS Bellevue Kirkland Mercer Island Redmond PATIENT PERSONAL INFORMATION Today s date Title Date reviewed/updated Last name First Middle Initial here Nickname Birth date Age Address Cell Phone Marital Status Sex M F City State Zip Home Phone Work Phone E-mail Referred by Person responsible/guarantor for paying bills Do you have Primary Dental Insurance Yes No Do you have Secondary Dental Insurance Group Insurance Name Phone Employer Name Subscriber s Name Subscriber Address...
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How to fill out premier periodontics

01
Start by gathering all the necessary documents and information, such as your personal identification, insurance details, and any previous dental history.
02
Contact Premier Periodontics to schedule an appointment. You can either call their office or book online through their website.
03
Arrive at the scheduled appointment on time. Make sure to bring all the required documents and be prepared to provide any additional information the dentist may need.
04
When you arrive at Premier Periodontics, you will be greeted by the receptionist who will assist you with the check-in process. They will ask you to fill out a patient information form.
05
Take your time to carefully fill out the patient information form. Make sure to provide accurate and complete information about your medical history, dental concerns, and any allergies or medications you may be taking.
06
Once you have completed the form, return it to the receptionist. They will review the information and may ask you some additional questions if needed.
07
After the necessary paperwork is completed, you will be called in by the dental assistant or hygienist. They will take your vital signs, perform a preliminary examination, and may take X-rays if necessary.
08
Finally, you will meet with the periodontist who will conduct a comprehensive examination, discuss your concerns, and recommend appropriate treatment options.
09
If any further procedures or surgeries are required, the periodontist will explain the process, potential risks, and expected outcomes. They will also provide you with a treatment plan and discuss any financial aspects.
10
Once the appointment is over, you can schedule any follow-up visits or necessary treatments as recommended by the periodontist.
11
Make sure to follow any post-treatment instructions provided by the periodontist, and maintain regular check-ups to ensure optimal oral health.

Who needs premier periodontics?

01
Premier Periodontics is typically needed by individuals who are experiencing gum diseases or require specialized care for gum-related issues.
02
People with conditions such as periodontitis, gingivitis, receding gums, or periodontal pockets may require the services of a periodontist at Premier Periodontics.
03
Those who have a family history of gum diseases or have a higher risk of developing such conditions may also benefit from Premier Periodontics services.
04
Individuals in need of dental implants, gum grafting, crown lengthening, or other periodontal surgeries can seek expertise from Premier Periodontics.
05
Anyone who wants to maintain and improve their oral health by receiving specialized care from experienced periodontists can benefit from Premier Periodontics.
06
It is advisable to consult with a general dentist first, who can provide a referral to Premier Periodontics if necessary.
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Premier periodontics is a specialized field of dentistry that focuses on the supporting structures of the teeth, such as the gums and bone.
Dentists who specialize in periodontics are required to file premier periodontics.
Premier periodontics can be filled out electronically or on paper forms provided by the governing dental association.
The purpose of premier periodontics is to track and monitor the health of the gums and supporting structures of the teeth.
Information such as patient demographics, periodontal measurements, and treatment plans must be reported on premier periodontics.
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