New Patient Forms

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New Patient Forms

New Patient Forms and Online Forms

Satellite Family Dentistry offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

New Patient Paperwork: this link will let you to fill out the paperwork directly from home and will be sent to us immediately.

Follow these easy three steps if you would like to print out the documents:

If you do not already have AdobeReader® installed on your computer, Click Here to download.
Download the necessary form(s), print it out and fill in the required information.
Bring them with you to your appointment.

New Dental Patient Form

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

Download & Print New Patient Packet

Download the Free AdobeReader®

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Hours of Operation

Satellite Family Dentistry

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Newsletter

Featured Articles

Read about helpful topics

Invisalign®

Invisalign's® invisible, removable, and comfortable aligners will give you the beautiful straight teeth you've always wanted. And best of all, no one can tell you're wearing them. Invisalign® is great for adults and teenagers. What is Invisalign®? Invisalign® is the invisible way to straighten ...
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Veneers

Teeth that are badly stained, shaped or crooked may be improved by a veneer placed on the surface of the affected teeth. Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, ...
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Fillings

Frequently asked questions: dental fillings Are dental amalgams safe? Is it possible to have an allergic reaction to amalgam? Is it true that dental amalgams have been banned in other countries? Is there a filling material that matches tooth color? If my tooth doesn't hurt and my filling is still in ...
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Sealants

Sealants are liquid coatings that harden on the chewing surfaces of teeth and are showing a great deal of effectiveness in preventing cavities—even on teeth where decay has begun. The pits and grooves of your teeth are prime areas for opportunistic decay. Even regular brushing sometimes misses these ...
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Overview

Pain can occur in any number of places in your mouth: teeth, gums, roots, the palate, tongue and jaw. Cavities are a common culprit causing pain. Untreated cavities can impact nerves because of infections of the tooth and gums. Impacted and abscessed teeth and sore jaws from teeth grinding are other ...
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Your Rights and Responsibilities as a Patient

Patient Rights You have a right to choose your own dentist and schedule an appointment in a timely manner. You have a right to know the education and training of your dentist and the dental care team. You have a right to arrange to see the dentist every time you receive dental treatment, ...
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Introduction

Does mercury in the silver fillings in your mouth pose any long-term health risks? Does fluoride, in spite of everything we've been told since childhood, actually cause more harm than good? What does the latest research reveal about tobacco use on your overall oral health? This section is dedicated ...
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Oral Piercing

Oral piercings (usually in the tongue or around the lips) have quickly become a popular trend in today’s society. With this popular trend, it is important to realize that sometimes even precautions taken during the installation of the piercing jewelry are not enough to stave off harmful, long-term ...
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Toothaches

Simple toothaches can often be relieved by rinsing the mouth to clear it of debris and other matter. Sometimes, a toothache can be caused or aggravated by a piece of debris lodged between the tooth and another tooth. Avoid placing an aspirin between your tooth and gum to relieve pain, because the dissolving ...
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Scaling and Root Planing

Some cases of acute periodontal (gum) disease that do not respond to more conventional treatment and self-care such as flossing may require a special kind of cleaning called scaling and root planing. The procedure begins with administration of a local anesthetic to reduce any discomfort. Then, a small ...
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