Patient Forms

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Dental Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Reilly Dental is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental x-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Our Happy Customers

"We've been going to Reilly Dental for almost 10 years now, and I routinely recommend them! Their new office is very nice, too. Today I got to have Jodi as my hygienist -- she was great! You will not go wrong with Dr. Tom or Dr. Susan, and I am always seen on time. Love, love Reilly Dental!!"

Katie

"I've been a patient at Reilly Dental for several years, and these guys do it right. Always a beautiful facility, well-stocked reception area, and great staff. Dr. TJ and Susan (both "Reillys") are extremely talented at what they do. I just recently started my Invisalign Treatment and its going very well so far -- can't wait to get my lower teeth looking straight again. All the hygienists are great, but special props to Jodi. She did a masterful job on mine today. Highly Recommended!"

David

" We have been going to Reilly Dental since we moved here, over 10 years ago. They are knowledgeable, kind, and honest. I highly recommend them."

Allison
We're here to help you get the perfect smile!
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