Patient Forms, Map and Directions to Marion Office
Your first visit to Marion D.D.S. establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms prior to your first appointment with us. Then, bring them to our office on the day of your appointment. We look forward to seeing you soon!
You do NOT need to print the "Notice of Privacy Practices" document. This document is for your review and understanding only. Please take the time to read this document, and if you have any questions feel free to contact our office.
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
We expect payment for services on the date of your appointment. We are not a preferred provider with any insurance company; however, if you have dental insurance, we will gladly file for your claim as a courtesy. It is your responsibility to check with your provider about individual benefits. We expect your portion of payment at the time services are rendered. If your insurance pays you, we need to be aware of this so that arrangements can be made to accommodate. Please let us know if you have any questions or concerns regarding payment prior to your appointment.
We accept the following:
- Money Order
- CareCredit Financing
We ask that you provide us with at least a 24 hour notice for a change or cancellation of an appointment. We reserve the right to charge a $30.00 fee for missed appointments without adequate notice, as your time slot is reserved exclusively for you. After 3 missed appointments without adequate notice, we reserve the right to ask that you find an office with more convenient hours for you and may dismiss you from our practice.