Patient Information

Are you a New Patient?

Print out documents below before your visit!

Consent for Use Disclosure Form

Patient Medical History – Front

Patient Medical History – Back

Insurance Benefits Information – Front

Insurance Benefits Information – Back

What should I expect on my first visit?

During your initial visit to Lone Mountain Family Dentistry, expect to feel right at home! We pride ourselves in making our patients feel as comfortable as possible. During your first visit expect our dental hygienists to ask you a few questions:

  • Do you have any health problems? (Please see Medical History Form below.)
  • Are you on any medications?
  • What’s your diet like? Lifestyle factors into a healthy smile – we’re happy to share our knowledge to increase your oral health.

A typical exam will include:

  • An evaluation of your overall health and oral hygiene, how often to you brush? Floss?
  • We will check your risk for tooth decay, root decay, gum and bone disease
  • Do you have a need for a tooth replacement, restoration, or root canal?
  • We will check your jaw and bite to ensure there are no problems, as well as evaluate your gums and cheeks for cancers.
  • Fun part! Clean and remove any stains or deposits on your teeth or between your teeth.
  • Ensure that we are demonstrating to you proper cleaning techniques for your teeth or dentures after your visit.
  • Do you need fluoride? We’ll check to make sure your up-to-date.
  • We may take dental X-rays or, perform other diagnostic procedures if necessary. We want to ensure you are 100% satisfied with your visit!

Do you have a dental emergency?

Dental emergencies are never fun and can cause a lot of stress. At Lone Mountain Family Dental we want to assure you that your immediate needs will be met in a timely matter! Many people schedule appointments for (or after) an accident or dental emergency because they need an exam or x-rays.

Appointments can be made for a specific problem, but if you are already a patient (have been seen by Lone Mountain Family Dentistry before), we do provide and on-call service for patients of record.

Dental emergencies include:

  • Broken teeth or split gums
  • Severe toothaches
  • Signs of infection that may indicate some sort of abscess such as fever, dental or facial pain
  • Facial trauma due to an accident that has resulted in chipped, damaged, or lost teeth
  • Fractured facial bones that may affect your jaw or bite

We are happy to address these issues for immediate concern, but typically, these can result in follow-up treatments with other dentists, specialists, oral surgeons or periodontists.

What insurance do you accept?

Most insurances are accepted.

What are my financing options?

We accept Care Credit, as well as other financing options.

dentist speaking with new patient