We are delighted to welcome you to our practice and are pleased that you chose us to serve your dental needs. We are serious about providing superior dental care at reasonable prices and proud of our dedication to our patients. Our goal is to help you look and feel your very best through excellent dental care.
To make sure you are being seen just as soon as possible at the time of your appointment, we would appreciate it if you would complete the following forms before your arrival. Please remember to bring them with you at the time of your appointment or mail the completed form back to us as soon as possible, so we receive it prior to your appointment date.
New Patient Forms:
- HIPPA Form
- Patient Registration (English)
- Patient Registration (Spanish)
- Acknowledgment of Receipt of Notice of Privacy Practices
If you are unable to make the appointment you have scheduled with us, please notify us at least 24 hours in advance. We do have a $25.00 fee for appointments that are not canceled 24 hours in advance. We would be glad to reschedule your appointment at a more convenient time, if necessary. In the meantime, we look forward to meeting you and serving the dental needs of you and your family.
Please remember to bring:
- Any insurance cards that might apply to your or your family
- Photo ID
- List of current medications
Emergency Dental | Urgent Dental Care
Our philosophy on dental emergencies is very simple “If you need toothache relief or are having another type of dental emergency, you are first in line…PERIOD.”
We take toothaches very seriously because we know tooth pain can cripple your life in inconceivable ways. Sometimes it’s the all-night toothache, a broken tooth on a piece of candy, or food that has packed between your gums. Often times that pain level spikes to a 10 out of 10 and you don’t know what to do.
Please call our office at 913-621-3113 and we will schedule your emergency dental appointment as quickly as possible.
If you have lost a tooth or are in pain go to the American Dental Association guideline to save your tooth: http://www.mouthhealthy.org/en/az-topics/d/dental-emergencies
Please let us know if you have Dental Anxiety, we can help.
Often referred to as “laughing gas,” nitrous oxide has been utilized in dental procedures for decades to help ease anxiety during dental procedures. The gas is breathed in through the nose and you should begin to feel calmer and more relaxed within 30 seconds. Nitrous oxide does not induce sleep, just deep relaxation; however, you may drift off into a light sleep. Nitrous oxide typically does not cause any side effects, and it should wear off almost immediately after treatment is complete. With sedation dentistry techniques, undergoing dental procedures can be a smoother, more relaxing process.
Section 1577 KS ADA Language Assistance
Section 1577 Notice of Nondiscrimination
Nondiscrimination Policy, English
Nondiscrimination Policy, Spanish
Nondiscrimination Policy, Additional Languages