WELCOME TO MAULDIN FAMILY DENTISTRY!
We look forward to meeting you in person at
your first appointment. If you have not already made an appointment, and would like to, please submit a request or call our office today.
Before you come in, we thought you might appreciate some
information about our practice and what to expect during your visit. We may be a little different than dentists you've had in the
past. We believe that achieving and maintaining healthy teeth and gums takes a
team effort and that you play as big a role as we do in reaching that mutual
goal. So, you can expect to be extensively involved in your treatment program.
Below, you will find our New Patient Forms,
which will provide our office with basic information about you. This includes details on any Dental Insurance
plan(s) you may have, as well as your medical history, which is vital in
developing your treatment plan. Please fill them out 24 hours prior to your first appointment, which will allow us to attend to your dental needs more quickly. Please also remember to bring your dental insurance card, as well as a current Picture I.D.
If you have dental insurance, we will file any charges
incurred during your visit with them, and any uncovered charges will be balance-billed to the responsible party on your account. If you
do not have dental insurance, we ask that you pay for services in full on the day of your appointment in form of cash or check (we also accept VISA, MasterCard, Discover, AMEX and CareCredit). For more information on our Financial Policy, please reference our Financial Policy document below.
If you have any questions, please call us at any time. We
welcome you to our practice and look forward to meeting you soon!
NEW PATIENT FORMS
COVID-19 Treatment Consent
Patient Information Form
Insurance Information Form
Patient Medical History Form
Mauldin Family Dentistry Financial Policy
Notice and Acknowledgement of Privacy Practices (HIPPA)
Records Release Form
This web site uses files in Adobe Acrobat Portable Document Format
(pdf) which require Adobe® Acrobat® Reader
for viewing and printing. It is available to download