Patient Information at Hendricks Family Dentistry

What to Know Before Your First Visit

Your First Visit Made Simple and Stress-Free

We want your first appointment at Hendricks Family Dentistry to be as easy and stress-free as possible. Below is a quick overview of what to expect and how to prepare.

Request Appointment

(330) 225-1433

Before Your Appointment

01. Confirm Your Visit

We'll reach out to confirm your scheduled time. If you need to cancel, please provide at least 48 business hours’ notice to avoid a cancellation fee.

02. Complete Your Forms

Use our online patient forms to save time at check-in. You can also print them at home and bring them with you.

03. Transfer Dental Records

If you’ve seen another provider, we recommend sending us your past dental records to give our team better insight into your oral health history.

04. Mention Any Discomfort

Let us know if you’re experiencing any pain or sensitivity so we can focus your care accordingly during your visit.

Patient Registration Forms

Once your initial appointment is scheduled, you have two options for completing your new patient registration forms:

Interactive Forms: Complete the forms online before your appointment to streamline the registration process.
Downloadable Forms: Download, print, and fill out your forms at home. Remember to bring these completed forms with you to your appointment.

Forms

Registration Form

Medical History

HIPPA

Financial Agreement

Insurance Agreement

Note: For your privacy, please do not email these forms to our office. Email is not HIPAA-compliant, and we prioritize the security of your Protected Health Information (PHI).

Insurance & Payment Options

We accept most major insurance plans and are happy to assist you in understanding your benefits. Flexible financing and payment options are available, including:

Cash, checks, and all major credit cards
Custom payment plans for qualifying treatments

Have questions about your specific coverage? Our front desk team is here to help.

Serving Patients Across Northeast Ohio

We’re proud to welcome patients from Brunswick, Strongsville, Medina, Broadview Heights, and North Royalton. Meet the people behind your care on our Meet the Doctors page.