Patient Screening Form

2. What are the top 3 qualities you're looking for in a dentist or dental practice?

(e.g., trust, advanced technology, no wait time, affordability, detailed communication, long-term planning)

3. How would you describe your past dental experiences?

4. How important is it to you to maintain your dental health long-term?

5. Are you open to investing in long-term dental health and appearance, even if it's not covered by insurance?

6. How do you typically plan for medical or dental expenses?

7. Are you prepared to make an initial investment in your care if we determine that treatment is necessary?

8. Would you be open to a financial consultation if your care requires planning?

9. Our practice provides meticulous, comprehensive care with a focus on relationships, long-term results, and a high standard of excellence. Are you looking for that kind of dental provider?