We at Bright Smiles Carlinville would like to build a relationship of mutual respect and understanding, it is very important for all of us to invest some time getting acquainted with one another.

We are very interested in getting to know you as a person and want to better understand your goals are and what is important to you. So, we will strive to get to know you and your dental goals at our first meeting.

Our First Meeting

Please print and fill out all the forms below before your appointment to help make your first visit as productive as possible.

It is very important for you to give a lot of thought to what you want for yourself, today and in the future. When we are clear on your dental goals you want to accomplish for yourself, we will then examine your mouth and teeth in order to come up with your patient specific diagnosis.

Your diagnosis is the most important step in our journey together. With a good relationship, we will be able to learn about the present conditions in your mouth and what they mean to your overall health and well-being. Understanding and observing the conditions of your teeth and in your mouth will allow you to make an informed decision about your health and dental future.

When you are done completing a thorough examination, we will decide if an additional evaluation is appropriate. This evaluation may involve taking x-ray pictures, creating plaster models of your teeth, and performing diagnostic tests.

The testing of all dental materials used in the treatment and restoration of your mouth and teeth are performed routinely on an individual basis.

Medical History

Patient Registration

 

It is very important for you to give a lot of thought to what you want for yourself, today and in the future. When we are clear on your dental goals you want to accomplish for yourself, we will then examine your mouth and teeth in order to come up with your patient specific diagnosis.

Your diagnosis is the most important step in our journey together. With a good relationship, we will be able to learn about the present conditions in your mouth and what they mean to your overall health and well-being. Understanding and observing the conditions of your teeth and in your mouth will allow you to make an informed decision about your health and dental future.

When you are done completing a thorough examination, we will decide if an additional evaluation is appropriate. This evaluation may involve taking x-ray pictures, creating plaster models of your teeth, and performing diagnostic tests.

The testing of all dental materials used in the treatment and restoration of your mouth and teeth are performed routinely on an individual basis.