Patient Forms

Feel free to contact us with any questions or concerns by filling out our simple contact form on our contact page, or give us a call at 304-594-2200.

NEW PATIENT PACKET

If this is your first time visiting The Landing Dental Spa, please fill out our New Patient Packet before your visit.

DENTAL HISTORY

Your Dental History is important, and allows our team to better care for you and serve your dental needs.

RELEASE OF INFORMATION

Our Information Release form provides details about the security and privacy of the information provided to us.

FINANCIAL POLICY

Our Financial Policy form explains, in detail, how the financial practices of The Landing Dental Spa work.

INFORMED CONSENT

This form allows us to complete our procedures, and authorizes our team to provide our services.

MEDICAL HISTORY

It is important for us to know of any ailments that may require us to alter a procedure to accommodate you.

PATIENT FINANCIAL AGREEMENT

This form details the financial agreement set forth between The Landing Dental Spa and its patients.

 

Download our free Complete Guide to Oral Health guidebook

 

Name(Required)

   
119 Shannon Drive
Morgantown, WV 26508