New patient form that needs to be completed prior to service/s for adults.
New patient form that needs to be completed prior to service/s for anyone under the age of 18
The Health History form is designed to determine any potential risk to our patients before any procedures are done. This would include allergies, medication taken, heart conditions, and any other possible conditions that may of concern to the office staff.
The Financial Policy details of basic policy, fees, and any other financial acknowledgements for our patients.
The HIPAA privacy notification document is designed to inform our patients of their rights to privacy and to ensure you that we take every measure to uphold and protect your personal information.
We have a list of recommended inexpensive items that can be purchased to assist with the healing process.
The following document includes general instruction of Anesthesia, requirements, and any other recommendations before a procedure
This document outlines steps that you should take after surgery for proper care and expedite healing.
The Authorization to Release Health Care Information form is an acknowledgement and agreement to release health care information in care of Randall J Russell DDS.