We’re happy to have you as a new patient and can’t wait to see you for your first appointment! Follow these steps to prepare for your visit.

Confirm Your Appointment

We’ll contact you in the days leading up to your appointment to confirm the date and time. If your schedule changes, please let us know as soon as possible. There is a $50 fee for cancelling an appointment without 24 hours notice.

Gather Dental Records

It can be helpful for the dentist to have access to records from your previous dentist, if you have one. You can ask your dentist to provide your records or send them to us directly. We can also assist with this process.

TIP: Speed up the registration process by completing your new patient registration forms online before your appointment.

Note Any Pain

If you’re experiencing any tooth pain or sensitivity, please make note of it prior to your appointment and plan to share that information with Dr. Hendricks. We’ll be able to see potential issues during your exam, but we always like to hear feedback from our patients.

Keep Brushing and Flossing

Clean teeth are the perfect start to any appointment. We recommend patients brush after each meal and floss daily. Brushing, flossing and and regular visits to the dentist are the best ways to maintain a healthy mouth.

What to Bring

Insurance Card: We accept most insurance. Please remember to bring your card to the appointment.

Payment Options: Hendricks Family Dentistry accepts cash, checks or credit cards, including Visa, MasterCard, American Express and Discover. We also offer affordable payment options.

Patient Registration Forms

Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Interactive Forms

Our interactive forms allow you to fill out registration information online prior to your visit. Click on the form below, fill out and then click Submit. Your registration information will be sent directly to our office in a HIPAA-compliant, digital format.

Adult Registration Form
Child Registration Form

Downloadable Forms

Our downloadable forms are available for saving and printing from your home computer. Please remember to bring these forms already filled out to your first appointment. Please do not email these forms to our office. Email transmissions are not HIPAA compliant and the security of your PHI (Protected Health Information) is important to us.

Adult Registration Form
Child Registration Form
Health History Form

Discover what we can do for all the smiles in your family.

Call us at (330) 225-1433 to schedule an appointment today.