Patient Registration
For New Patients:
Download and Print the Patient Registration Form and bring it to your first visit.
- Patient Registration Form
- Financial Policy Notice
- HIPPA Patient Consent Form
- Oral Screening Consent Form
First Visit
Your initial appointment usually will consist of an examination and review of your treatment options. Usually, treatment can be done or started the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Download and Print the Patient Registration Form and bring it to your first visit.
Please assist us by providing the following information at the time of your consultation:
- Any x-rays taken by a previous dentist, if applicable.
- A list of medications you are presently taking.
- If you have dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian.
Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).
X-Rays
If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional x-rays are necessary, they can be taken at our facility.
we take care
of our patients
Friendly & Comfortable
Our courteous and caring staff will ensure all your dental needs are taken care of.
Advanced Technology
We offer modern dental technology and equipment to provide advanced comfort.
Personalized Care
We take pride in offering our patients a personalized dental experience.
Dr. DeShetler does a really good job. My visits have been easy, comfortable, and informative. He doesn’t recommend any unnecessary work which I’ve experienced with other dentists. I’ve had 2 fillings and I was surprised how painless the procedure was.
Extremely friendly staff, most helpful. Very professional and thorough, explains options in layman’s terms. Non pressure caring environment. Hadn’t been to a Dentist in 5 years, but will definitely be back every 6 months just because I feel a general concern for the health of my mouth and my overall well being.
I found my dental experience as pleasant as can be expected with having the amount of work I had done. Dr DeShetler is very up to the latest in knowledge and equipment. His staff are a cheerful, friendly group, who enjoy their jobs. This makes the experience a good one.
His office staff is always friendly and courteous. Like Dr. DeShetler himself, they take pride in their work and make your dental health their #1 priority. I give Dr. DeShetler and his office staff my highest recommendation.
The entire team at doctor DeShetlers as well as doctor DeShetler himself is remarkable, very professional and well-informed and has made me feel very comfortable and as if I was part of the family, I wouldn’t go anyplace else. There are just not enough kind words in our dictionary to express my devotion to doctor
Every time I visit the office for my dental work. I leave feeling valued as a patient. The entire staff are excellent at what they do. They help me to relax, because I am mess with nerves when I sit in the chair. AWESOME! So, if you are looking for a staff that knows how
I always have a good experience coming to the office. Have new products and always accommodate patient with their schedule whenever possible. Office staff are always friendly and welcoming.
We’re here to help! If you have any questions, please contact us and we’ll be in touch shortly!