accessibility ACCESSIBILITY
Leading Edge Dental Center
Michael A. Goone, DDS
Creating Beautiful, Healthy Smiles For A Lifetime

1st Visit-New Patient Forms

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 the best dental care available and we are proud of our dedication to our patients.  Our goal is to help you feel and look your best through excellent dental care.

Your first visit will take approximately 1 hour.  To facilitate being seen just as soon as possible, we would appreciate it if you would print both sets of forms below,  fill them out and bring them to your first appointment with us.  Thank you in advance and we look forward to serving your dental needs for many years to come.

New Patient Forms
 HIPAA Privacy Forms

If you are unable to keep the appointment you have scheduled with us, please notify us at least 48 hours in advance.  We would be glad to reschedule for a more convenient time, if necessary.  We reserve the right to charge a minimum of $50.00 for any missed or cancelled appointments without prior notice.


 

*Please remember to bring any Insurance cards that might apply to you or your family when you come.