Patient Forms, Map, and Directions
Your first visit to Utz Cosmetic & Family Dentistry involves a few special steps so that we can get to know you. Dr. Utz meets with new patients to gain a comprehensive understanding of their medical and dental history. This interview is followed by a clinical examination of the mouth, which includes an Oral Cancer Screening and full explanation of Dr. Utz's findings and recommendations.
Patient Forms
Please print and fill out these forms so we can expedite your first visit:
- New Patient Form
- Medical History Form
- Notice of Privacy Practices
- Acknowledgement Receipt of Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader
installed.
Click here to download it.
What To Expect
The initial visit includes a comprehensive restorative exam, a
photographic record of all teeth and a complete series of digital x-rays
to determine the presence of infection, abnormalities and/or tooth decay.
This will provide the data necessary to complete your customized
restorative treatment plan while addressing any questions or concerns you
may have.
Driving Directions:
