Your First Visit

In order to make your first visit to our office go as smoothly as possible please read over the following lists of things necessary to expedite your first visit with us.

New Patient Registration/Health History Form

JS Balkcom New Patient FormsOften we will have mailed, faxed, or emailed a copy of this form for you to complete prior to your arrival. Vital information includes any past or present illnesses, conditions, allergies and concerns, as well as a detailed list of current prescription and over-the-counter medications you are taking.

This information is important in order for us to be aware of any factors that may affect the treatment choices that are available to you.

Consent for Dental Records

We are required by law to get permission to acquire your medical records. With this form you consent to release this information to us

Dental Insurance Card (If applicable)

If you have dental insurance, be sure to bring your dental insurance card with you. Please be aware that this is usually a different card than your medical insurance card.

Dental X-Rays

If you have dental x-ray records that are less than two years old, please pick them up or have them sent to us so they arrive before your appointment. See our “Consent for Medical Records Release” form if you need it. Be mindful that it may take several days to process your request. If your records are more than two years old or are unavailable, current images will be made at your appointment.

Why are X-Ray’s Necessary?

Dr. Balkcom reading digital x-rays

Diagnostic x-rays are important for a complete oral exam. Many diseases of the oral cavity (which includes the teeth, surrounding tissues and bone) cannot be seen when the dentist examines a patient’s mouth.

A dental x-ray may help the dentist see:

  • Small areas of decay between the teeth or below existing restorations (fillings)
  • Bone destruction from a tooth infection (for example, an abscess) or a cyst
  • Bone loss due to periodontal (gum) disease
  • Developmental abnormalities
  • Some types of tumors
  • The effects of trauma
  • The position of unerupted teeth in children and adults

*Note: Insurance companies cover dental x-ray expenses at varying frequencies.