New Patients - Welcome to Fay Dental Care

null
Your first visit to Fay Dental Care involves a few special steps so that we can get to know you. To understand what to expect, 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 also save some time by printing out and completing the patient forms in advance of your appointment.

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.
  • Patient Information / Adult

  • The following confidential information is important for the dentist to know in planning your dental care. Please answer each question as completely as you can. Thank you.
  • Account Information

  • Person to contact in case of emergency
  • Phone number in case of emergency
  • Health Information - Dental

  • Do any of the following apply to you now or in the past?
  • Health Information - Medical

  • Are you allergic to any of the following.
  • Do any of the following apply to you now or in the past?
  • The above information is correct to the best of my knowledge. I authorize the administration of such medication and performance of such diagnostic and therapeutic procedures as may be necessary for proper dental care.
  • Type full name here.
  • Submission Date: 04/19/2019
  • This field is for validation purposes and should be left unchanged.
  • Patient Information / Child or Teen

  • The following confidential information is important for the dentist to know in planning your dental care. Please answer each question as completely as you can. Thank you.
  • Account Information

  • Health Information - Dental

  • Do any of the following apply to you now or in the past?
  • Health Information - Medical

  • Are you allergic to any of the following.
  • Do any of the following apply to you now or in the past?
  • The above information is correct to the best of my knowledge. I authorize the administration of such medication and performance of such diagnostic and therapeutic procedures as may be necessary for proper dental care.
  • Type full name here.
  • Submission Date: 04/19/2019
  • This field is for validation purposes and should be left unchanged.
New Adult Patient Form
  • Patient Information / Adult

  • The following confidential information is important for the dentist to know in planning your dental care. Please answer each question as completely as you can. Thank you.
  • Account Information

  • Person to contact in case of emergency
  • Phone number in case of emergency
  • Health Information - Dental

  • Do any of the following apply to you now or in the past?
  • Health Information - Medical

  • Are you allergic to any of the following.
  • Do any of the following apply to you now or in the past?
  • The above information is correct to the best of my knowledge. I authorize the administration of such medication and performance of such diagnostic and therapeutic procedures as may be necessary for proper dental care.
  • Type full name here.
  • Submission Date: 04/19/2019
  • This field is for validation purposes and should be left unchanged.
New Child Patient Form
  • Patient Information / Child or Teen

  • The following confidential information is important for the dentist to know in planning your dental care. Please answer each question as completely as you can. Thank you.
  • Account Information

  • Health Information - Dental

  • Do any of the following apply to you now or in the past?
  • Health Information - Medical

  • Are you allergic to any of the following.
  • Do any of the following apply to you now or in the past?
  • The above information is correct to the best of my knowledge. I authorize the administration of such medication and performance of such diagnostic and therapeutic procedures as may be necessary for proper dental care.
  • Type full name here.
  • Submission Date: 04/19/2019
  • This field is for validation purposes and should be left unchanged.