First Visit

John R. Lindeman, DDS

FIRST VISIT

We welcome you to Dr. Lindeman’s family and cosmetic dental practice. On your first visit, we will conduct an initial exam

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Complete the patient registration page.

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If you were referred, please bring your referral paperwork and any X-rays if applicable.

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List of medications you are presently taking including heart medications, aspirin or blood thinners.

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Notify the office in advance if you have a medical condition which may require you to be pre-medicated prior to dental appointments.

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If you have dental insurance, bring your dental insurance card or information. This will save time and allow us to process your dental claims.

Please complete the forms below and bring them to your appointment. Click on each link to open the form in a new window. Forms can be typed online and printed to your home printer or email the completed forms to our office at [email protected]

Medical History
Patient Registration
HIPAA Form

A parent or guardian must accompany all patients under 18 at the consultation visit.