7525 State road, suite a cincinnati, OH 45255
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Patient Resources

New Patients

All forms are now collected electronically at your first appointment. We’ll hand you an iPad to fill out and sign your health history. We recommend arriving at your first appointment about 10 minutes early.

To save time, you can pre-­read our Notice of Privacy Practices here; you will sign a form saying you have read this at your first appointment.

Premier Dental Plan

Premier Dental Plan Registration Form – This form is only required if you wish to enroll in Anderson Dental Care’s Premier Dental Plan. If you are interested in learning more about this low-cost, in-house benefit plan, give us a call. You can register for the plan by completing this form and mailing it with payment or bringing it with you to your first appointment. We also have the form available in our office.

Make An Appointment

Need a SMILE MAKEOVER, full mouth reconstruction or cosmetic procedure like veneers or crowns? Set up an appointment now without picking up the phone.

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